Individual provider Active NPI

Daniel Michael Feckoury

  • Family Medicine Physician
  • Carrollton, GA
National Provider Identifier
1659516367
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
080953 Issued in GA
Practice address
706 Dixie St Ste 350
Carrollton, GA 30117-3860
Phone
(770) 812-5831
Fax
(770) 812-5832
NPI assigned
Dec 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 080953 GA Primary

Addresses

Primary practice location

706 Dixie St Ste 350
Carrollton, GA 30117-3860

Mailing address

706 Dixie St Ste 350
Carrollton, GA 30117-3860
Phone (770) 812-5831

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
I20180919004189 GA Practitioner - Family Practice 6800038993 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Mercer University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tanner Medical Group IncGroup PAC ID 2769536143, 120 clinicians

Practice addresses (Care Compare)

706 Dixie St
Suite 130
Carrollton, GA 30117-3819
Phone (770) 812-5866

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
080953GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tanner Medical Group Inc Family Medicine CurrentSince May 19, 2025 Accepting new patients
Piedmont Medical Care Corporation Family Medicine CurrentSince Aug 27, 2018 Accepting new patients
Piedmont Providers LLC Past Accepting new patients
TMC Children'S Healthcare of West Georgia Past Accepting new patients
Carrollton Surgical Group, P. a. PastSince May 19, 2025 Accepting new patients

Locations

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

100 Greenway Blvd
Ste C
Carrollton, GA 30117
Phone (770) 838-8710

706 Dixie St
Ste 350
Carrollton, GA 30117
Phone (770) 812-5831

706 Dixie St
Ste 130
Carrollton, GA 30117
Phone (770) 812-5866

1975 Highway 54 W
Ste 150
Peachtree City, GA 30269
Phone (770) 486-5000

690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1659516367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 DIXIE ST STE 350",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173860",
            "telephone_number": "770-812-5831",
            "fax_number": "770-812-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 DIXIE ST STE 350",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173860",
            "telephone_number": "770-812-5831",
            "fax_number": "770-812-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FECKOURY",
        "first_name": "DANIEL",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "080953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.