Robert Stephen Feldman, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

028977 Issued in GA

Practice address

822 Industrial Blvd
Suite B
Ellijay, GA 30540-3804

Phone

(706) 635-5111

Fax

(706) 636-5438

NPI assigned

Nov 2, 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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Augusta Inpatient Services, LLC

  • Internal Medicine Physician
  • Augusta, GA
  • NPI 1972743383
  NPD (past)
• Doctors Hospital of Augusta Neurology LLC

  • Neurological Surgery Physician
  • Augusta, GA
  • NPI 1063658318
  NPD (past)
• Southern Health Corp of Ellijay

  • Rural Health Clinic/Center
  • Ellijay, GA
  • NPI 1013248962
  NPD (past)
• Memorial Hospital-West Volusia Inc

  • General Acute Care Hospital
  • Deland, FL
  • NPI 1649367269
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1831278779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1019",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305400013",
            "telephone_number": "706-635-5111",
            "fax_number": "706-636-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 INDUSTRIAL BLVD",
            "address_2": "SUITE B",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305403804",
            "telephone_number": "706-635-5111",
            "fax_number": "706-636-5438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3623 J Dewey Gray Cir Ste 210",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309096554",
            "country_code": "US",
            "telephone_number": "706-421-6014",
            "fax_number": "855-229-2493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "ROBERT",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "028977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00333891A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradleigh Dyer-McPherson, FNP
• Ellijay Center for Change, PC
• Jackie Dwayne Ellington, EMT
• Stacey Lynne Evans-Paulin, PA-C
• Family Life Chiropractic Center III
• Marissa Lee Fidler, PA-C
• D'Wayne Fowler, DDS
• Hilary Fowler
• Gateway Treatment Centers, LLC
• Generative Therapy Center LLC

• All providers in Ellijay, GA
• Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.