Active NPI
Jenna Elizabeth Frost, PA-C
- Physician Assistant
- Fort Moore, GA
National Provider Identifier
1033590203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- Martin Army Community Hospital
6600 Van Aalst Blvd BLDG 9250
Fort Moore, GA 31905 - Phone
- (706) 544-9516
- NPI assigned
- Jun 14, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
Martin Army Community Hospital
6600 Van Aalst Blvd BLDG 9250
Fort Moore, GA 31905
Mailing address
6600 Van Aalst Blvd BLDG 9250
Fort Moore, GA 31905-2102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pic Wisconsin SC | Current | Accepting new patients | |
| Phoebe Physician Group, Inc | Past | Accepting new patients |
Locations
19165 W Bluemound Rd
Brookfield, WI 53045
Phone (847) 653-0130
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Brookfield, WI
- NPI 1124678354
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1033590203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 VAN AALST BLVD BLDG 9250",
"city": "FORT MOORE",
"state": "GA",
"postal_code": "319052102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MARTIN ARMY COMMUNITY HOSPITAL",
"address_2": "6600 VAN AALST BLVD BLDG 9250",
"city": "FORT MOORE",
"state": "GA",
"postal_code": "31905",
"telephone_number": "706-544-9516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROST",
"first_name": "JENNA",
"middle_name": "ELIZABETH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-14",
"last_updated": "2023-12-18",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Moore, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.