Individual provider Active NPI

Nichole Lynn Feagin, PHARMD

  • Pharmacist
  • Sandy Springs, GA
National Provider Identifier
1306145446
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH022111 Issued in GA
Practice address
8601 Dunwoody PL Ste 750
Sandy Springs, GA 30350-2519
Phone
(404) 815-1610
Fax
(404) 815-1609
NPI assigned
Mar 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20681 AL
Pharmacist 183500000X 5302047394 MI
Pharmacist 183500000X 42643 TN
Pharmacist 183500000X 26018 MD
Pharmacist 183500000X 0202217233 VA
Pharmacist 183500000X 65701 TX
Pharmacist 183500000X RPH022111 GA Primary

Addresses

Primary practice location

8601 Dunwoody PL Ste 750
Sandy Springs, GA 30350-2519

Mailing address

8601 Dunwoody PL Ste 750
Sandy Springs, GA 30350-2519
Phone (404) 815-1610

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)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
26018MDMDSocial Worker
20681ALMDPharmacist
RPH022111GAMDPharmacist
5302047394MIMDPharmacist
42643TNMDPharmacist
65701TXMDPharmacist
0202217233VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Icp Holdings, LLC CurrentSince Sep 8, 2019 Accepting new patients
Icp Holdings, LLC Current Accepting new patients
Palliative Pharmacy Solutions Inc Past Accepting new patients

Locations

8601 Dunwoody Pl
Ste 750
Sandy Springs, GA 30350
Phone (404) 815-1610

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1306145446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 DUNWOODY PL STE 750",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303502519",
            "telephone_number": "404-815-1610",
            "fax_number": "404-815-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 DUNWOODY PL STE 750",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303502519",
            "telephone_number": "404-815-1610",
            "fax_number": "404-815-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEAGIN",
        "first_name": "NICHOLE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-15",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "20681",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302047394",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "42643",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "26018",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202217233",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "65701",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH022111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.