Individual provider Active NPI

Danielle Frias

  • Medical Physician Assistant
  • Atlanta, GA
National Provider Identifier
1043793771
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
12645 Issued in GA
Practice address
4505 Ashford Dunwoody Rd NE Ste 15B
Atlanta, GA 30346-1516
Phone
(770) 800-3353
NPI assigned
Sep 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT003707 GA
Medical Physician Assistant 363AM0700X 12645 GA Primary

Addresses

Primary practice location

4505 Ashford Dunwoody Rd NE Ste 15B
Atlanta, GA 30346-1516

Mailing address

3458 Mill Bridge Dr
Marietta, GA 30062-5537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251006002016 GA Practitioner - Physician Assistant 2163928326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Philadelphia College of Osteopathic Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eon Care Clinicians PCGroup PAC ID 1052833951, 29 clinicians

Practice addresses (Care Compare)

960 N Point Pkwy
Suite 120
Alpharetta, GA 30005-8892
Phone (240) 778-6164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
AT003707GAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Eon Care Clinicians PC CurrentSince Aug 1, 2025 Accepting new patients
Kennesaw Wellness PastSince Jul 23, 2023 Accepting new patients

Locations

960 North Point Pkwy
Ste 120
Alpharetta, GA 30005
Phone (770) 274-9511

4300 Paces Ferry Rd SE
Ste 500
Atlanta, GA 30339
Phone (404) 496-8960

20451 Seneca Meadows Pkwy
Germantown, MD 20876
Phone (301) 515-2760

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1043793771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3458 MILL BRIDGE DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 ASHFORD DUNWOODY RD NE STE 15B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303461516",
            "telephone_number": "770-800-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIAS",
        "first_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-09",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT003707",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "12645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.