Active NPI
Andre D Feria, MD
- Nephrology Physician
- Lagrange, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 048513
- Practice address
- 142 Old Mill Road
Lagrange, GA 30241-6704 - Phone
- (706) 885-1900
- Fax
- (706) 882-1350
- NPI assigned
- Aug 17, 2005
- Last updated
- Jun 30, 2008
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 048513 | GA | Primary |
Addresses
Primary practice location
142 Old Mill Road
Lagrange, GA 30241-6704
Mailing address
142 Old Mill Road
Lagrange, GA 30241-6704
Phone (706) 885-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000866203A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
142 Old Mill Rd
Lagrange, GA 30241-6704
4459 Hwy 431
Roanoke, AL 36274-2603
Phone (334) 863-8365
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048513 | GA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andre D. Feria MD PC | Nephrology | Current | Accepting new patients |
| The Emory Clinic Inc | Nephrology | Current | Accepting new patients |
| West Georgia Medical Group-Lagrange | Current | Accepting new patients | |
| Talladega Nephrology, LLC | Nephrology | Current | Accepting new patients |
| Dialysis Care Center Newnan Home LLC | Past | Accepting new patients |
Locations
4459 Highway 431
Roanoke, AL 36274
Phone (334) 863-8365
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
142 Old Mill Rd
Lagrange, GA 30241
Phone (706) 882-7440
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IBHFAD/Endpoint/IBHFAD
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Lagrange, GA
- NPI 1831422484
-
- Nephrology Physician
- Talladega, AL
- NPI 1982800884
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Newnan, GA
- NPI 1225800048
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lagrange Dialysis Clinic
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lagrange, GA
- NPI 1417134206
Dialysis facility
-
dba Troup County Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lagrange, GA
- NPI 1760757736
Dialysis facility
-
dba WellStar West Georgia Medical Center
- General Acute Care Hospital
- Lagrange, GA
- NPI 1821221144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214784000000",
"number": "1205828134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 OLD MILL ROAD",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302416704",
"telephone_number": "706-885-1900",
"fax_number": "706-882-1350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 OLD MILL ROAD",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302416704",
"telephone_number": "706-885-1900",
"fax_number": "706-882-1350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERIA",
"first_name": "ANDRE",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2008-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "GA",
"license": "048513",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000866203A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lagrange, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.