Individual provider Active NPI

Felice Ike, FNP-C

  • Family Nurse Practitioner
  • McDonough, GA
National Provider Identifier
1437625860
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN227751 Issued in GA
Practice address
2725 Marlin Dr
McDonough, GA 30253-6686
Phone
(229) 630-7442
NPI assigned
Oct 24, 2018
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 41324 TN
Nurse Practitioner 363L00000X 337516 AZ
Nurse Practitioner 363L00000X RN227751 GA
Nurse Practitioner 363L00000X 126099 WV
Nurse Practitioner 363L00000X 5024579 NC
Family Nurse Practitioner 363LF0000X 5024579 NC
Family Nurse Practitioner 363LF0000X RN227751 GA Primary
Family Nurse Practitioner 363LF0000X 126099 WV
Family Nurse Practitioner 363LF0000X 41324 TN
Family Nurse Practitioner 363LF0000X 337516 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 126099 WV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN227751 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 337516 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5024579 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 41324 TN

Addresses

Primary practice location

2725 Marlin Dr
McDonough, GA 30253-6686

Mailing address

2725 Marlin Dr
McDonough, GA 30253-6686
Phone (229) 630-7442

Other practice location 1

250 Village Center Pkwy Ste 100
Stockbridge, GA 30281-9104
Phone (678) 289-0508

Other practice location 2

Clinic #3013
3905 Due West Rd NW
Marietta, GA 30064-1019
Phone (678) 290-5740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, ME, WA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20190604002868 GA Practitioner - Nurse Practitioner 1850624941 Reassigns benefits to 5 organizations
I20230727003744 FL Practitioner - Nurse Practitioner 1850624941 Reassigns benefits to 2 organizations
I20260623001371 ME Practitioner - Nurse Practitioner 1850624941 Reassigns benefits to 2 organizations
I20260623004511 WA Practitioner - Nurse Practitioner 1850624941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daniel Funsch Jr MD PCGroup PAC ID 1951801836, 139 clinicians

Practice addresses (Care Compare)

136 Davis LN
La Follette, TN 37766-3118
Phone (212) 734-6621

1390 N Poplar Fork Rd
Hurricane, WV 25526-7112
Phone (212) 734-6621

228 Smith Chapel Rd
Suite 1501
Mount Olive, NC 28365-1917
Phone (212) 734-6621

300 Spring St
Westbrook, ME 04092-3915
Phone (212) 734-6621

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41324TNMDPharmacist
337516AZMDPsychiatric/Mental Health Nurse Practitioner
RN227751GAMDPsychiatric/Mental Health Nurse Practitioner
5024579NCMDPsychiatric/Mental Health Nurse Practitioner
126099WVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Sep 1, 2025 Accepting new patients
Peachtree Hospice of Georgia, LLC CurrentSince Aug 20, 2024 Accepting new patients
Vpa PC CurrentSince Sep 1, 2025 Accepting new patients
Community Care Health Network LLC Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients
SF Georgia Medical Services PC CurrentSince Sep 1, 2019 Accepting new patients

Locations

135 Gemini Cir
Ste 202
Birmingham, AL 35209
Phone (205) 949-0400

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

2903 Stirling Rd
Fort Lauderdale, FL 33312
Phone 2124198180 ext. 98180

1000 Parkwood Cir SE
Ste 900
Atlanta, GA 30339
Phone (216) 393-8684

1372 Peachtree St NE
Ste 100
Atlanta, GA 30309
Phone (470) 964-1700

22 Maple Ridge Dr
Cartersville, GA 30121
Phone (770) 606-8800

1233 Eagles Landing Pkwy
Ste Ab
Stockbridge, GA 30281
Phone (404) 480-3842

250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173

Organizations & group practices 8

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": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1437625860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 MARLIN DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536686",
            "telephone_number": "229-630-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 MARLIN DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536686",
            "telephone_number": "229-630-7442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Village Center Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302819104",
            "country_code": "US",
            "telephone_number": "678-289-0508",
            "fax_number": "770-692-0301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Clinic #3013",
            "address_2": "3905 DUE WEST RD NW",
            "address_purpose": "LOCATION",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641019",
            "country_code": "US",
            "telephone_number": "678-290-5740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IKE",
        "first_name": "FELICE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "41324",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "337516",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN227751",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "126099",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5024579",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5024579",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN227751",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "126099",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "41324",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "337516",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "126099",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN227751",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "337516",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5024579",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "41324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.