Daniel M Feldman, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

021682 Issued in GA

Practice address

16741 Ga Highway 67
Suite F
Statesboro, GA 30458-2528

Phone

(912) 681-4555

Fax

(912) 681-6551

NPI assigned

Nov 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

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.

• Elizabeth L Penn MD PC

  • Pediatrics Physician
  • Statesboro, GA
  • NPI 1427303015
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1902977853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 GLEN OAKS DR",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304614419",
            "telephone_number": "912-489-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16741 GA HIGHWAY 67",
            "address_2": "SUITE F",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304582528",
            "telephone_number": "912-681-4555",
            "fax_number": "912-681-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "DANIEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "021682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000205114G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Eye Care of Georgia, LLC
• Family Foot Care of Statesboro
• Family Health Care Center, PC
• Family Podiatry Center PC
• Family Practice Dental Care of Statesboro
• Gregory Shawn Felzien, M.D.
• Hannah Rae Fennell, RBT
• Joseph J Fennell II, LPC
• Becky Alli Fields
• Madison Leigh Fields, LPC

• Pediatrics Physician in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.