Active NPI
Samuel L. Featherston, MD
- Internal Medicine Physician
- Vidalia, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 055045
- Practice address
- 1707 Meadows LN Ste G
Vidalia, GA 30474-7201 - Phone
- (912) 535-5120
- Fax
- (912) 535-2015
- NPI assigned
- Oct 28, 2005
- Last updated
- Feb 9, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME119873 | FL | |
| Internal Medicine Physician | 207R00000X | 055045 | GA | Primary |
Addresses
Primary practice location
1707 Meadows LN Ste G
Vidalia, GA 30474-7201
Mailing address
1707 Meadows LN Ste G
Vidalia, GA 30474-7201
Phone (912) 535-5120
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | SAMUEL.FEATHERSTON@hca5.eclinicaldirectplus.com |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Mercer University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 R T Stanley Sr Place
Lyons, GA 30436-5623
Phone (912) 526-9355
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meadows Multispecialty Associates, LLC | Internal Medicine | Current | Accepting new patients |
Locations
110 Rt Stanley SR Pl
Lyons, GA 30436
Phone (912) 526-9355
1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429
1707 Meadows Ln
Ste A
Vidalia, GA 30474
Phone (912) 538-0003
1707 Meadows Ln
Ste G
Vidalia, GA 30474
Phone (912) 535-5120
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- samuel.featherston@srpcc.gadirect.net
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Lyons, GA
- NPI 1952990533
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vidalia, GA
- NPI 1790376564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1447240510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 MEADOWS LN STE G",
"city": "VIDALIA",
"state": "GA",
"postal_code": "304747201",
"telephone_number": "912-535-5120",
"fax_number": "912-535-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 MEADOWS LN STE G",
"city": "VIDALIA",
"state": "GA",
"postal_code": "304747201",
"telephone_number": "912-535-5120",
"fax_number": "912-535-2015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEATHERSTON",
"first_name": "SAMUEL",
"middle_name": "L.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2022-02-09",
"certification_date": "2021-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME119873",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "055045",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "SAMUEL.FEATHERSTON@hca5.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "1707 Meadows Ln Ste G",
"city": "Vidalia",
"state": "GA",
"country_code": "US",
"postal_code": "304747201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vidalia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.