Individual provider Active NPI

Samuel L. Featherston, MD

  • Internal Medicine Physician
  • Vidalia, GA
National Provider Identifier
1447240510
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
055045 Issued in GA
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060801000325 GA Practitioner - Internal Medicine 3779508833 Reassigns benefits to 1 organization

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
Meadows Multispecialty Associates LLCGroup PAC ID 6002223484, 28 clinicians

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 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Meadows Multispecialty Associates, LLC Internal Medicine CurrentSince May 1, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.