Active NPI
Fredric Warren Feist Sr., M.D.
- Psychiatry Physician
- Attalla, AL
National Provider Identifier
1124107453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 3258
- Practice address
- 425 5TH Ave NW
Attalla, AL 35954-2214 - Phone
- (256) 492-7800
- Fax
- (256) 494-5536
- NPI assigned
- Nov 6, 2006
- Last updated
- Sep 18, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 3258 | AL | Primary |
Addresses
Primary practice location
425 5TH Ave NW
Attalla, AL 35954-2214
Mailing address
425 5TH Ave NW
Attalla, AL 35954-2214
Phone (256) 492-7800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51002083 | Other | BLUE CROSS OF ALABAMA | |
| 000002083 | Medicaid | AL | |
| 51502083 | Other | BLUE CROSS OF ALABAMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3258 | AL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gadsden Home Care Services LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Adoration Home Health
- Home Health Agency
- Gadsden, AL
- NPI 1821010679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600387200000",
"number": "1124107453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 5TH AVE NW",
"city": "ATTALLA",
"state": "AL",
"postal_code": "359542214",
"telephone_number": "256-492-7800",
"fax_number": "256-494-5536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 5TH AVE NW",
"city": "ATTALLA",
"state": "AL",
"postal_code": "359542214",
"telephone_number": "256-492-7800",
"fax_number": "256-494-5536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEIST",
"first_name": "FREDRIC",
"middle_name": "WARREN",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": "3258",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF ALABAMA",
"identifier": "51002083",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000002083",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF ALABAMA",
"identifier": "51502083",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Attalla, AL
- Molly Beth Dawson, MA
- Nicole Dumas, MSW
- Mallie Ellison
- Etowah Dekalb Cherokee Mental Health Board, Inc (CED Mental Health Center)
- Etowah Youth Services Inc. (Eagle Rock Boys Ranch)
- Jenia Fowler, LICSW
- Fresenius Kidney Care Attalla, LLC (Fresenius Kidney Care Attalla)
- Gadsden Home Care Services LLC (Gadsden Regional Hospice)
- Gadsden Weight Control, LLC
- Daniel Carl Geary Jr., C.HT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.