Mary M Feldman, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

69403 Issued in GA

Practice address

410 Dixie St
Carrollton, GA 30117-3922

Phone

(770) 834-0818

Fax

(770) 834-5098

NPI assigned

Jul 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Missouri, Columbia School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95 of 100Reported as individual

Quality

90

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4374/brand/1/csg/1/fhir/r4

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.

• Mary M Feldman MD LLC

  dba Carrollton Dermatology

  • Medical Specialty Clinic/Center
  • Carrollton, GA
  • NPI 1699215541
  Medicare reassignment NPD Authorized official
• West Georgia Center for Diabetes and Endocrinology

  • Specialist
  • Carrollton, GA
  • NPI 1821116781
  NPD
• Dermatology and Skin Cancer Specialists, LLC.

  dba Dermatology and Skin Cancer Center - Lee's Summit

  • Dermatology Physician
  • Lee's Summit, MO
  • NPI 1366632697
  NPD (past)
• Palm Canyon Dermatology, PC

  • Point of Service
  • Yuma, AZ
  • NPI 1437339470
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1396767893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173922",
            "telephone_number": "504-231-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173922",
            "telephone_number": "770-834-0818",
            "fax_number": "770-834-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "MARY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "GA",
            "license": "69403",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "GA",
            "license": "69403",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "69403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kisha Griffin Farris
• Damion Farrow
• Sarah L Faver
• Daniel Michael Feckoury
• Taylor Fehr
• Fern Haven Counseling, LLC
• Gary Stephen Fields, D.P.M.
• Richard J. Fiore, D.C.
• Brenda Fitzgerald, M.D.
• Thomas Fitzgerald III, M.D.

• Dermatology Physician in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.

Verify at the official NPI Registry.