Individual provider Active NPI

Felicia Deloris Washington, FNP

  • Family Nurse Practitioner
  • Gainsville, GA
National Provider Identifier
1316040264
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN259622 Issued in GA
Practice address
2435 Old Cornelia Highway
Gainsville, GA 30507
Phone
(779) 533-7230
NPI assigned
Sep 6, 2006
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN259622 GA Primary
Family Nurse Practitioner 363LF0000X R740067 MS

Addresses

Primary practice location

2435 Old Cornelia Highway
Gainsville, GA 30507

Mailing address

536 Winder TRL
Canton, GA 30114-7531
Phone (662) 435-7800

Other identifiers 1

IdentifierTypeStateIssuer
03825275MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180707000016 GA Practitioner - Nurse Practitioner 4183667447 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN259622GAMDFamily Nurse Practitioner
R740067MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Truwell Healthcare Group Inc CurrentSince Feb 26, 2026 Accepting new patients
Crawford Mobile Health Clinic Past Accepting new patients
United Emergency Services of Mississippi Past Accepting new patients
Piedmont Medical Care Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: felicia.washington.2@14940.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1316040264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 WINDER TRL",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301147531",
            "telephone_number": "662-435-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 OLD CORNELIA HIGHWAY",
            "city": "GAINSVILLE",
            "state": "GA",
            "postal_code": "30507",
            "telephone_number": "779-533-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "FELICIA",
        "middle_name": "DELORIS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN259622",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R740067",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03825275",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainsville, GA

Sources for this page

Verify at the official NPI Registry.