MEDICARE: SAMUEL L. FEATHERSTON MD

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	ME119873	FL
2	207R00000X	Internal Medicine Physician	055045	GA

General Provider Information

NPI Number	:	1447240510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMUEL L. FEATHERSTON MD

Provider Business Mailing Address
First Line	:	1707 MEADOWS LN STE G
Second Line	:
City	:	VIDALIA
State	:	GA
Zip	:	30474-7201
Country	:	US
Telephone Number	:	912-535-5120
Fax Number	:	912-535-2015

Provider Business Practice Location Address
First Line	:	1707 MEADOWS LN STE G
Second Line	:
City	:	VIDALIA
State	:	GA
Zip	:	30474-7201
Country	:	US
Telephone Number	:	912-535-5120
Fax Number	:	912-535-2015

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

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	02/09/2022

Similar Medicare Providers

1699600874 — VIDALIA HEALTH SERVICES, LLC
Practice Location Address:

1707 MEADOWS LN STE B
VIDALIA, GA
30474-7201

Practice Phone: 912-535-7100
Practice Fax:

1316930464 — GILBERT J. GONZALEZ M.D.
Practice Location Address:

1707 MEADOWS LN STE F
VIDALIA, GA
30474-7201

Practice Phone: 912-537-9481
Practice Fax: 912-537-1380

1184670036 — MR. RONALD W WILLIAMS JR. MD
Practice Location Address:

1707 MEADOWS LN STE A
VIDALIA, GA
30474-7201

Practice Phone: 912-644-5300
Practice Fax:

1760507974 — DR. LETTY REVELL PETERSON M.D.
Practice Location Address:

305 FIRST ST. WEST
VIDALIA, GA
30474-7201

Practice Phone: 912-538-9080
Practice Fax:

1124284088 — VIDALIA UROLOGY ASSOCIATES, LLC
Practice Location Address:

1707 MEADOWS LN STE F
VIDALIA, GA
30474-7201

Practice Phone: 912-537-9481
Practice Fax:

1265883730 — LAURA H WHITE PMHNP, FNP-C
Practice Location Address:

414 LUGENIA DR
VIDALIA, GA
30474-7201

Practice Phone: 912-537-9355
Practice Fax:

Directions to “ SAMUEL L. FEATHERSTON MD” 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.