MEDICARE: 2801 FELTON AVENUE, L.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility		GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336525005
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	2801 FELTON AVENUE, L.P.

Provider Business Mailing Address
First Line	:	3000 OLD ALABAMA RD STE 119-403
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30022-5860
Country	:	US
Telephone Number	:	404-282-4755
Fax Number	:	404-765-0547

Provider Business Practice Location Address
First Line	:	2801 FELTON DR
Second Line	:
City	:	EAST POINT
State	:	GA
Zip	:	30344-3605
Country	:	US
Telephone Number	:	404-767-7591
Fax Number	:	404-765-0547

Authorized Official
Title or Position	:	CFO
Name	:	DAREN DOUSTON
Credential	:
Telephone Number	:	404-282-4755

Provider Enumeration Date	:	08/05/2015
Last Update Date	:	12/21/2023

Similar Medicare Providers

1053492801 — ADK BONTERRA PARKVIEW, LLC
Practice Location Address:

2801 FELTON DR
EAST POINT, GA
30344-3605

Practice Phone: 404-767-7591
Practice Fax: 404-765-0547

1194718783 — MRS. JANICE K SENNICK PHARMD
Practice Location Address:

67 PROSPECT HILL RD
EAST WINDSOR, CT
06088-3605

Practice Phone: 860-623-1407
Practice Fax:

1043309677 — BIG Y FOODS INC
Practice Location Address:

67 PROSPECT HILL RD
EAST WINDSOR, CT
06088-3605

Practice Phone: 860-623-1407
Practice Fax: 860-623-1640

1679627210 — DANIEL W HAYES RPH
Practice Location Address:

67 PROSPECT HILL RD
EAST WINDSOR, CT
06088-3605

Practice Phone: 860-623-1407
Practice Fax: 860-623-1640

1336272749 — DR. SAMUEL THOMAS BANDER DDS
Practice Location Address:

1151 EAST PARIS AVE SE , SUITE 100
GRAND RAPIDS, MI
49546-3605

Practice Phone: 616-949-5980
Practice Fax: 616-949-5981

1700909884 — A&K KOUKLAKIS OD P.C.
Practice Location Address:

4902 INDIANAPOLIS BLVD
EAST CHICAGO, IN
46312-3605

Practice Phone: 219-398-2066
Practice Fax: 219-398-2066

Directions to “2801 FELTON AVENUE, L.P. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.