SAMUEL L. FEATHERSTON (MD) – Internal Medicine Physician, NPI 1447240510

SAMUEL L. FEATHERSTON (MD) is a healthcare provider. based in Fernandina beach, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME119873 (FL). The NPI Number for SAMUEL L. FEATHERSTON (MD) is 1447240510

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL L. FEATHERSTON (MD)
NPI
1447240510
Phone
(904) 206-9354
Address
1001 ATLANTIC AVE STE D
Enumeration Date
28 October 2005
Last Update Date
9 February 2022

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9125269355
Graduation Year
2002 (24 years ago)
PAC ID
3779508833
Group Practice PAC ID
6002223484
Professional Enrollment ID
I20060801000325
Address ID
GA304365623LY110XXPLAC600

Contacts

Secure Messaging
SAMUEL.FEATHERSTON@hca5.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

12,368 INTERNAL MEDICINE in FL

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Provider Addresses for SAMUEL L. FEATHERSTON (MD)

  • Atlantic Avenue, Fernandina Beach, Nassau County, Florida, 32035, United States

    FERNANDINA BEACH, FL 320343652

    Phone: (904) 206-9354

    Fax: (844) 461-6758

    Type: Mailing

  • 1707 MEADOWS LN STE G

    VIDALIA, GA 304747201

    Phone: (912) 535-5120

    Fax: (912) 535-2015

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-08-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060801000325IInternal MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes292150$0
G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes116116$0
99497Advance care planning, first 30 minutes112112$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7979$0
G0444Annual depression screening, 5 to 15 minutes7373$0
View full utilization report →

Insurance plans in this area (ZIP 32034)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002223484View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Radiation OncologyGA
Cardiovascular Disease (Cardiology)GA
Certified Nurse Midwife (Cnm)GA
U R O L O G YGA
Gastroenterology, Internal MedicineFL
O B S T E T R I C S/ G Y N E C O L O G YGA
Pulmonary Disease, Internal MedicineGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

How do payers reference SAMUEL L. FEATHERSTON (MD)?
For SAMUEL L. FEATHERSTON (MD), use NPI 1447240510 as the unique 10-digit identifier.
Is there an active status for SAMUEL L. FEATHERSTON (MD)?
For scheduling context, SAMUEL L. FEATHERSTON (MD) is shown as active in the registry.
What expertise is attributed to SAMUEL L. FEATHERSTON (MD)?
SAMUEL L. FEATHERSTON (MD)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is SAMUEL L. FEATHERSTON (MD) registered?
Use Fernandina Beach, Florida as the headline location for SAMUEL L. FEATHERSTON (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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