Active NPI
Virginia Ovesen Felder
- Marriage & Family Therapist
- Atlanta, GA
National Provider Identifier
1588652176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 000104
- Practice address
- 3350 Northlake Pkwy NE
Atlanta, GA 30345-2204 - Phone
- (770) 908-0863
- NPI assigned
- Oct 9, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 000104 | GA | Primary |
Addresses
Primary practice location
3350 Northlake Pkwy NE
Atlanta, GA 30345-2204
Mailing address
3350 Northlake Pkwy NE
Atlanta, GA 30345-2204
Phone (770) 908-0863
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 641368015A | Medicaid | GA |
Other names 1
- Ms. Virginia Felder Conway
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000104 | GA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Marriage & Family Therapist | Current | Accepting new patients |
Interoperability endpoints
- virginiafelder@tdh.allscriptsdirect.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 and National Provider Directory roles.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400803200000",
"number": "1588652176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 NORTHLAKE PKWY NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303452204",
"telephone_number": "770-908-0863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 NORTHLAKE PKWY NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303452204",
"telephone_number": "770-908-0863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDER",
"first_name": "VIRGINIA",
"middle_name": "OVESEN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-09",
"last_updated": "2014-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "000104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "641368015A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VIRGINIA",
"last_name": "CONWAY",
"middle_name": "FELDER",
"prefix": "MS.",
"credential": "D.MIN.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.