Gregory Lee Feeback, M.A., ED.S.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

212678 Issued in SC

Practice address

403 Dover CT
Lexington, SC 29072-6750

Phone

(803) 758-1408

NPI assigned

May 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1821049818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 DOVER CT",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290726750",
            "telephone_number": "803-309-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 DOVER CT",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290726750",
            "telephone_number": "803-758-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEEBACK",
        "first_name": "GREGORY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "M.A., ED.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "SC",
            "license": "212678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WP8969",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Dupre Fanning Jr., LPC
• Ardith Farmer
• Jill Moseley Farnum, PHARMD
• Rachel Fate
• FC Midlands Lexington, LLC
• Rebekah Leigh Feigh, LMSW
• Victoria Fenters, FNP
• America Fernandez-Gamboa
• Christen Tuggle Ferster, RDN
• Justin Ellis Grossman Fichtner, MD

• Psychologist in Lexington, SC
• Providers in Lexington, SC by specialty
• Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.