Individual provider Active NPI

Frederick Remick Jr., LPC

  • Professional Counselor
  • Columbus, GA
National Provider Identifier
1073661211
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
001842 Issued in GA
Practice address
2022 15TH Ave
Columbus, GA 31901-1608
Phone
(706) 649-6500
Fax
(706) 649-6521
NPI assigned
Jan 6, 2007
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001842GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pastoral Institute, Inc Professional PastSince Aug 27, 1999 Accepting new patients
St Francis Health LLC Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 001842 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

2022 15TH Ave
Columbus, GA 31901-1608

Mailing address

2022 15TH Ave
Columbus, GA 31901-1608
Phone (706) 649-6500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073661211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 15TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011608",
            "telephone_number": "706-649-6500",
            "fax_number": "706-649-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 15TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011608",
            "telephone_number": "706-649-6500",
            "fax_number": "706-649-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMICK",
        "first_name": "FREDERICK",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "001842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.