TIMOTHY JASON FELICIANO FERNANDEZ – Cardiovascular Disease Physician, NPI 1194266338

TIMOTHY JASON FELICIANO FERNANDEZ is a healthcare provider. based in Atlanta, Georgia. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold a License No. 83790 (GA). The NPI Number for TIMOTHY JASON FELICIANO FERNANDEZ is 1194266338

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY JASON FELICIANO FERNANDEZ
NPI
1194266338
Phone
Not provided
Address
1364 CLIFTON RD NE
Enumeration Date
20 March 2017
Last Update Date
12 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
9414830746
Graduation Year
2017 (9 years ago)
PAC ID
4284908567
Group Practice PAC ID
5496144529
Professional Enrollment ID
I20250814002216
Address ID
FL342935236VE3600XWAYX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:9State licenses:2Digital endpointsOther names

980 CARDIOVASCULAR DISEASE (CARDIOLOGY) in GA

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Provider Addresses for TIMOTHY JASON FELICIANO FERNANDEZ

  • Clifton Road Northeast, Emory Highlands, Druid Hills, DeKalb County, Georgia, 30329, United States

    ATLANTA, GA 303221059

    Phone:

    Type: Mailing

  • PO BOX 947407

    ATLANTA, GA 303947407

    Phone: (941) 917-2600

    Fax: (941) 917-7884

    Type: Mailing

  • 200 HEALTHCARE WAY UNIT 103

    NORTH VENICE, FL 342753670

    Phone: (941) 261-0160

    Fax: (941) 261-0165

    Type: Location

  • 1364 Clifton Rd NE

    Atlanta, GA 303221059

    Phone: (256) 338-7678

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $1,351.

Total Amount is formed as General ($1,351) + Research ($0) + Ownership ($0) = $1,351.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Boston Scientific Corporation ($299).

Total Amount

$1,351

General + Research + Ownership

Payments

16

Total payment records

General Amount

$1,351

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-08-14

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
I20250814002216ICardiovascular Disease (Cardiology)FLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30322)

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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: 5496144529View full group profile
NameSpecialtyState
Internal MedicineFL
Orthopedic SurgeryFL
Pediatric MedicineFL
P O D I A T R YFL
Internal MedicineFL
N E U R O L O G YFL
Internal MedicineFL
Internal MedicineAZ
Family PracticeFL
Internal MedicineFL

Reviews

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Frequently asked questions

Is TIMOTHY JASON FELICIANO FERNANDEZ listed with a National Provider Identifier?
Yes — TIMOTHY JASON FELICIANO FERNANDEZ has NPI 1194266338 on file in the registry.
Is there an active status for TIMOTHY JASON FELICIANO FERNANDEZ?
For scheduling context, TIMOTHY JASON FELICIANO FERNANDEZ is shown as active in the registry.
What clinical focus is listed for TIMOTHY JASON FELICIANO FERNANDEZ?
At a glance, TIMOTHY JASON FELICIANO FERNANDEZ is tied to Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Is TIMOTHY JASON FELICIANO FERNANDEZ located near Atlanta?
TIMOTHY JASON FELICIANO FERNANDEZ currently maps to Atlanta, Georgia in this extract.
When was this NPI issued?
Enumeration for TIMOTHY JASON FELICIANO FERNANDEZ is noted as March 20, 2017 where the registry provides it.

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