Healthcare Provider Details

I. General information

NPI: 1821980459
Provider Name (Legal Business Name): EDDIE TRAVIS FEAGIN DNP, FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2025
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3910 WASHINGTON RD
AUGUSTA GA
30907-2349
US

IV. Provider business mailing address

2295 HENRY TECKLENBURG DR
CHARLESTON SC
29414-7801
US

V. Phone/Fax

Practice location:
  • Phone: 706-664-0767
  • Fax:
Mailing address:
  • Phone: 843-766-7103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number30568
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberGAA-NP003784
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: