Individual provider Active NPI

Stephen F Felton, M.D.

  • Family Medicine Physician
  • Conyers, GA
National Provider Identifier
1841285327
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30996 Issued in GA
Practice address
1445 Old McDonough Hwy SE Ste E
Conyers, GA 30094-5977
Phone
(770) 922-9222
Fax
(770) 922-8794
NPI assigned
Sep 12, 2005
Reactivated
Apr 4, 2006
Last updated
Oct 21, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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 30996 GA Primary

Addresses

Primary practice location

1445 Old McDonough Hwy SE Ste E
Conyers, GA 30094-5977

Mailing address

1445 Old McDonough Hwy SE Ste E
Conyers, GA 30094-5977
Phone (770) 922-9222

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
I20040114000017 GA Practitioner - General Practice 3476454463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Medical College of Georgia School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1445 Old McDonough Sehwy E
Conyers, GA 30094-5977
Phone (770) 922-9222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Otto Bock Patient Care, LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1841285327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 OLD MCDONOUGH HWY SE STE E",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945977",
            "telephone_number": "770-922-9222",
            "fax_number": "770-922-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 OLD MCDONOUGH HWY SE STE E",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945977",
            "telephone_number": "770-922-9222",
            "fax_number": "770-922-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTON",
        "first_name": "STEPHEN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2014-10-21",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "30996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.