Individual provider Active NPI

Felecia Denice Warren, FNP

  • Family Nurse Practitioner
  • Midland City, AL
National Provider Identifier
1316401029
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01190203 Issued in GA
Practice address
475 Canterbury Farm Rd
Midland City, AL 36350-5205
Phone
(334) 983-1934
NPI assigned
Jan 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F01190203 GA Primary

Addresses

Primary practice location

475 Canterbury Farm Rd
Midland City, AL 36350-5205

Mailing address

3700 S Railroad St Ste B
Phenix City, AL 36867-2994
Phone (334) 298-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190617000644 AL Practitioner - Nurse Practitioner 9234462722
I20191007000956 GA Practitioner - Nurse Practitioner 9234462722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Care LLCGroup PAC ID 0244395689, 8 clinicians

Practice addresses (Care Compare)

2401 Newnan Crossing Blvd
Suite 120
Newnan, GA 30265-2408
Phone (770) 771-6580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
F01190203GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Care LLC CurrentSince May 7, 2023 Accepting new patients
Phenix City Spine & Joint Ctr. Past Accepting new patients

Locations

600 Lanier Ave W
Ste 204
Fayetteville, GA 30214

2401 Newnan Crossing Blvd E
Ste 120
Newnan, GA 30265

1365 Rock Quarry Rd
Ste 202
Stockbridge, GA 30281
Phone (770) 960-2701

Interoperability endpoints

  • Direct secure messaging: felecia.warren.5@33818.direct.athenahealth.com

Organizations & group practices 2

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": "1548547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1316401029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 S RAILROAD ST STE B",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368672994",
            "telephone_number": "334-298-7700",
            "fax_number": "866-537-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 CANTERBURY FARM RD",
            "city": "MIDLAND CITY",
            "state": "AL",
            "postal_code": "363505205",
            "telephone_number": "334-983-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "FELECIA",
        "middle_name": "DENICE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-27",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F01190203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland City, AL

Sources for this page

Verify at the official NPI Registry.