MEDICARE: FELICIA RENEE ADKINS APRN, FNP-C

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	163W00000X	Registered Nurse	RN297401	GA
2	363L00000X	Nurse Practitioner	RN207401	GA
3	363LP2300X	Primary Care Nurse Practitioner	RN207401	GA
4	163W00000X	Registered Nurse	RN207401	GA

General Provider Information

NPI Number	:	1164005757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FELICIA RENEE ADKINS APRN, FNP-C

Provider Business Mailing Address
First Line	:	55 HENRY WAY
Second Line	:
City	:	TIFTON
State	:	GA
Zip	:	31793-6983
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 PRISON FARM RD
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31601-6534
Country	:	US
Telephone Number	:	229-671-3050
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2021
Last Update Date	:	05/26/2026

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