MEDICARE: LYNN M FEEMAN NP

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	363LF0000X	Family Nurse Practitioner	RN098883	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487640124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNN M FEEMAN NP

Provider Business Mailing Address
First Line	:	3155 N POINT PKWY
Second Line	:	ATTN: CREDENTIALING DEPT., BUILDING F, SUITE 100
City	:	ALPHARETTA
State	:	GA
Zip	:	30005
Country	:	US
Telephone Number	:	770-645-9181
Fax Number	:	770-645-8455

Provider Business Practice Location Address
First Line	:	1000 JOHNSON FERRY RD
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342
Country	:	US
Telephone Number	:	770-645-9181
Fax Number	:	770-645-8455

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

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	03/04/2026

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