Individual provider Active NPI

Jessica Robin Feehan, NP-C

  • Family Nurse Practitioner
  • Canton, GA
National Provider Identifier
1407290273
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN229588 Issued in GA
Practice address
320 Hospital Rd
Canton, GA 30114-2432
Phone
(770) 479-5535
NPI assigned
Apr 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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 RN229588 GA Primary

Addresses

Primary practice location

320 Hospital Rd
Canton, GA 30114-2432

Mailing address

1930 Brannan Rd
McDonough, GA 30253-4310
Phone (678) 284-4040

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
I20130617000588 GA Practitioner - Nurse Practitioner 6002055365 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urological Professional Services, LLCGroup PAC ID 9638391717, 72 clinicians
Georgia Urology, PAGroup PAC ID 8921094376, 99 clinicians

Practice addresses (Care Compare)

100 Liberty Blvd
Canton, GA 30114-2852
Phone (678) 593-1043

145 Riverstone Ter
Suite 101
Canton, GA 30114-5327
Phone (770) 720-7246

4450 Calibre Xing NW
Acworth, GA 30101-4103
Phone (770) 607-1893

450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (770) 224-1000

470 Northside Cherokee Blvd
Suite 201
Canton, GA 30115-8015
Phone (770) 720-7246

5730 Glenridge Dr
Suite 200
Atlanta, GA 30328-5579
Phone (404) 256-1844

9 Medical Dr NE
Suite a
Cartersville, GA 30121-8003
Phone (770) 607-1893

900 Towne Lake Pkwy
Suite 200
Woodstock, GA 30189-1603
Phone (678) 494-9201

Hospital & facility affiliations

  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Adventhealth Gordon Hospital, Calhoun, GA, CCN 110023
  • Adventhealth Murray Hospital, Chatsworth, GA, CCN 110050
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
78.21 of 100Reported as group
Quality
52.19
Promoting interoperability
98
Improvement activities
40
Cost
76.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN229588GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince May 10, 2013 Accepting new patients
Urological Professional Services, LLC CurrentSince Sep 21, 2015 Accepting new patients
Georgia Urology PA CurrentSince Sep 21, 2015 Accepting new patients
Georgia Urology, PA CurrentSince Sep 21, 2015 Accepting new patients

Locations

4450 Calibre Xing NW
Acworth, GA 30101
Phone (770) 607-1893

320 Hospital Rd
Canton, GA 30114
Phone (770) 479-5535

470 Northside Cherokee Blvd
Ste 201
Canton, GA 30115
Phone (770) 720-7246

1930 Brannan Rd
McDonough, GA 30253
Phone (678) 284-4040

5095 Peachtree Pkwy
Norcross, GA 30092
Phone (770) 209-9299

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

5730 Glenridge Dr
Ste 200
Sandy Springs, GA 30328
Phone (404) 252-5206

4298 Atlanta Rd SE
Ste 300
Smyrna, GA 30080
Phone (770) 429-9100

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

900 Towne Lake Pkwy
Ste 200
Woodstock, GA 30189
Phone (678) 494-9201

Interoperability endpoints

  • Direct secure messaging: jessica.feehan.p1@direct.gupa.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1407290273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 BRANNAN RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534310",
            "telephone_number": "678-284-4040",
            "fax_number": "678-284-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 HOSPITAL RD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142432",
            "telephone_number": "770-479-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEEHAN",
        "first_name": "JESSICA",
        "middle_name": "ROBIN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN229588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.