MEDICARE: FEAGINS MEDICAL GROUP, PLLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1437384294
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FEAGINS MEDICAL GROUP, PLLC

Provider Business Mailing Address
First Line	:	912 PHILLIPS ST
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37208-3142
Country	:	US
Telephone Number	:	615-305-5712
Fax Number	:	615-248-6914

Provider Business Practice Location Address
First Line	:	607 W DUE WEST AVE STE 113
Second Line	:
City	:	MADISON
State	:	TN
Zip	:	37115-4428
Country	:	US
Telephone Number	:	615-860-8183
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	SHINDANA L. FEAGINS
Credential	:	MD
Telephone Number	:	615-860-8183

Provider Enumeration Date	:	05/22/2009
Last Update Date	:	11/12/2024

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