Active NPI
Octavia Frazile, BSN, RN
- Critical Care Medicine Registered Nurse
- Decatur, GA
National Provider Identifier
1104744036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- 259013
- Practice address
- 250 E Ponce de Leon Ave Ste 400
Decatur, GA 30030-3406 - Phone
- (404) 251-0508
- NPI assigned
- Jul 8, 2026
- 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 |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 259013 | SC | Primary |
Addresses
Primary practice location
250 E Ponce de Leon Ave Ste 400
Decatur, GA 30030-3406
Mailing address
106 China Berry CT
Easley, SC 29640-2564
Phone (864) 569-7874
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1104744036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 CHINA BERRY CT",
"city": "EASLEY",
"state": "SC",
"postal_code": "296402564",
"telephone_number": "864-569-7874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 E PONCE DE LEON AVE STE 400",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303406",
"telephone_number": "404-251-0508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZILE",
"first_name": "OCTAVIA",
"credential": "BSN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-08",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "SC",
"license": "259013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.