Individual provider Active NPI

Eddie Travis Feagin, DNP, FNP-C

  • Nurse Practitioner
  • Aiken, SC
National Provider Identifier
1821980459
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
30568 Issued in SC
Practice address
410 University Pkwy Ste 2300
Aiken, SC 29801-6807
Phone
(843) 766-7103
NPI assigned
Jul 17, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 30568 SC Primary
Family Nurse Practitioner 363LF0000X GAA-NP003784 GA

Addresses

Primary practice location

410 University Pkwy Ste 2300
Aiken, SC 29801-6807

Mailing address

2295 Henry Tecklenburg Dr
Charleston, SC 29414-7801
Phone (843) 766-7103

Other practice location 1

410 University Pkwy Ste 1400
Aiken, SC 29801-6842
Phone (843) 766-7103

Other practice location 2

3910 Washington Rd
Augusta, GA 30907-2349
Phone (706) 664-0767

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250905001096 GA Practitioner - Nurse Practitioner 5890297212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Urgent Care LLCGroup PAC ID 8820305600, 171 clinicians

Practice addresses (Care Compare)

1408 Tallahassee Hwy
Suite Z
Bainbridge, GA 39819-7900
Phone (229) 400-9033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
GAA-NP003784GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Urgent Care LLC CurrentSince Jul 8, 2025 Accepting new patients
Rural Urgent Care LLC CurrentSince Jul 8, 2025 Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

3910 Washington Rd
Augusta, GA 30907
Phone (205) 644-8256

1408 Tallahassee Hwy
Ste Z
Bainbridge, GA 39819
Phone (229) 400-9033

1245 Noah Dr
Jasper, GA 30143
Phone (706) 253-1954

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1821980459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 HENRY TECKLENBURG DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294147801",
            "telephone_number": "843-766-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 UNIVERSITY PKWY STE 2300",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016807",
            "telephone_number": "843-766-7103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 University Pkwy Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298016842",
            "country_code": "US",
            "telephone_number": "843-766-7103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3910 Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309072349",
            "country_code": "US",
            "telephone_number": "706-664-0767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEAGIN",
        "first_name": "EDDIE",
        "middle_name": "TRAVIS",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-17",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "30568",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP003784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.