Whitney Fedrick
NPI 1154908440ActiveIndividual· Technician, Other· Snellville, GA
Technician, Other in Snellville, Georgia, licensed in GA, with an NPI issued in March 2021.
Overview
| NPI | 1154908440 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 24, 2021 |
| Last updated in NPPES | Mar 24, 2021 |
| Certified by provider | Mar 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Technician, Other Primary | 247200000X | E9N5B4M3 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Technician, Other providers in Snellville
- 1215860457