Active NPI
Paul David Feldman, M.D.
- Plastic Surgery Physician
- Fayetteville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 029640
- Practice address
- 874 W Lanier Ave
Suite 100
Fayetteville, GA 30214-1511 - Phone
- (770) 461-4000
- Fax
- (770) 461-2790
- NPI assigned
- Aug 18, 2005
- Sex
- Male
- Sole proprietor
- No
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.
-
- Plastic Surgery Physician
- Fayetteville, GA
- NPI 1760733448
GA, Plastic Surgery
-
- Vascular Specialist/Technologist Cardiovascular
- Powder Springs, GA
- NPI 1457100430
GA
-
- Plastic Surgery Physician
- Fayetteville, GA
- NPI 1144212846
GA, Plastic Surgery
-
- Ambulatory Surgical Clinic/Center
- Fayetteville, GA
- NPI 1962441709
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of South Florida College of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Truffles Vein of Central Georgia LLCTruffles Vein Center LLC
Practice addresses (Care Compare)
874 Lanier Ave W
Suite 220
Fayetteville, GA 30214-7659
Phone (678) 833-1444
96 Vinings Dr
McDonough, GA 30253-5994
Phone (678) 833-1444
Merit-based Incentive Payment System (MIPS)
- Final score
- 7.5 of 100
- Quality
- 15
- Improvement activities
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 152 |
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120118000762 | GA | Practitioner - Plastic and Reconstructive Surgery | 7911002001 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Aesthetics, P.C | Plastic Surgery | Current | Accepting new patients |
| Truffles Vein Center, LLC | Plastic Surgery | Current | Accepting new patients |
| Truffles Vein of Central Georgia LLC | Current | Accepting new patients | |
| Advanced Aesthetics PC | Current | Accepting new patients |
Locations
874 Lanier Ave W
Ste 220
Fayetteville, GA 30214
Phone (678) 833-1444
874 Lanier Ave W
Ste 120
Fayetteville, GA 30214
Phone (678) 833-1444
874 Lanier Ave W
Ste 100
Fayetteville, GA 30214
Phone (770) 461-4000
874 Lanier Ave W
Fayetteville, GA 30214
Phone (770) 683-7873
96 Vinings Dr
McDonough, GA 30253
Phone (678) 833-1444
8 E Court Sq
Newnan, GA 30263
Phone (678) 833-1444
2084 Newnan Crossing Blvd E
Ste 200
Newnan, GA 30265
Phone (770) 461-4000
5041 Dallas Hwy
Ste 107
Powder Springs, GA 30127
Phone (678) 833-1444
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 029640 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
874 W Lanier Ave
Suite 100
Fayetteville, GA 30214-1511
Mailing address
874 W Lanier Ave
Suite 100
Fayetteville, GA 30214-1511
Phone (770) 461-4000
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00580423A | Medicaid | GA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 27, 2024.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1588656367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "874 W LANIER AVE",
"address_2": "SUITE 100",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302141511",
"telephone_number": "770-461-4000",
"fax_number": "770-461-2790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "874 W LANIER AVE",
"address_2": "SUITE 100",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302141511",
"telephone_number": "770-461-4000",
"fax_number": "770-461-2790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDMAN",
"first_name": "PAUL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "GA",
"license": "029640",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00580423A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.