Healthcare Provider Details

I. General information

NPI: 1164005757
Provider Name (Legal Business Name): FELICIA RENEE ADKINS APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2021
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 PRISON FARM RD
VALDOSTA GA
31601-6534
US

IV. Provider business mailing address

55 HENRY WAY
TIFTON GA
31793-6983
US

V. Phone/Fax

Practice location:
  • Phone: 229-671-3050
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN207401
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberRN207401
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN297401
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN207401
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: