Organization Active NPI

Stephen a. Felker, PH.D., P.C.

  • Clinical Psychologist
  • Hamilton, GA
National Provider Identifier
1861150823
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
STEPHEN A. FELKER, PH.D., P.C.
Practice address
681 Layfield Branch Rd.
Hamilton, GA 31811-4110
Phone
(706) 315-7358
Fax
(706) 243-1346
NPI assigned
Dec 7, 2021
Last updated
Dec 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Authorized official

Name
Dr. Stephen A. Felker, PH.D.NPI 1528142775
Title
Owner/President
Phone
(706) 315-7358

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

681 Layfield Branch Rd.
Hamilton, GA 31811-4110

Mailing address

681 Layfield Branch Rd.
Hamilton, GA 31811-4110
Phone (706) 315-7358

Other identifiers 1

IdentifierTypeStateIssuer
000450766AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220125002400 GA Part B Supplier - Clinic/Group Practice 3072905066 Receives reassigned benefits from 1 practitioner
Practice locations: Hamilton, GA
O20241108001220 NC Part B Supplier - Clinic/Group Practice 3072905066 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1861150823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 LAYFIELD BRANCH RD.",
            "city": "HAMILTON",
            "state": "GA",
            "postal_code": "318114110",
            "telephone_number": "706-315-7358",
            "fax_number": "706-243-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 LAYFIELD BRANCH RD.",
            "city": "HAMILTON",
            "state": "GA",
            "postal_code": "318114110",
            "telephone_number": "706-315-7358",
            "fax_number": "706-243-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN A. FELKER, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "FELKER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "706-315-7358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000450766A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.