Jessica Lyndsey Febles, PA-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10446 Issued in GA

Practice address

3646 Chamblee Tucker Rd Unit B
Atlanta, GA 30341

Phone

(770) 493-6767

NPI assigned

Feb 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Premier Family Clinic

  • Internal Medicine Physician
  • Chamblee, GA
  • NPI 1528113107
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1679167258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3646 CHAMBLEE TUCKER RD",
            "address_2": "STE B",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303414406",
            "telephone_number": "678-849-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3646 CHAMBLEE TUCKER RD UNIT B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30341",
            "telephone_number": "770-493-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEBLES",
        "first_name": "JESSICA",
        "middle_name": "LYNDSEY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "10446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Patrick Fealy III
• Bernard Fears, RPH
• Courtney Fears, OT
• Feather Touch Dental Care LLC
• Miriam Featherstone
• Ellen Federico, LCSW
• Brianna Fedorich, PA-C
• Kaney Jervelle Fedovskiy, M.D.
• Erika Lyn Fedyk, R.N.
• Lynn M Feeman, NP

• Family Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.