Active NPI
Fredrica Waldburg
- Non-emergency Medical Transport (VAN)
- Savannah, GA
National Provider Identifier
1144152976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 059044653
- Practice address
- 6205 Abercorn St
Savannah, GA 31405-5527 - Phone
- (912) 703-3629
- NPI assigned
- Jun 3, 2026
- Last updated
- Jun 3, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 059044653 | GA | Primary |
Addresses
Primary practice location
6205 Abercorn St
Savannah, GA 31405-5527
Mailing address
6205 Abercorn St
Savannah, GA 31405-5527
Phone (912) 703-3629
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
| License | State | Type | Specialty |
|---|---|---|---|
| 059044653 | GA | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1144152976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6205 ABERCORN ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314055527",
"telephone_number": "912-703-3629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6205 ABERCORN ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314055527",
"telephone_number": "912-703-3629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDBURG",
"first_name": "FREDRICA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-03",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "GA",
"license": "059044653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
- Wal-Mart Stores East LP (WalMart Pharmacy 10-6592)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-4530)
- Wal-Mart Stores East, LP (Vision Center 30-0605)
- Wal-Mart Stores East, LP. (Walmart pharmacy 10-3164)
- Tye Walcott, LPC
- Erin H. Walden, OT
- Barbara Ann Waldron, CRNA
- Walgreen Co (Walgreens #19629)
- Walgreen Co (Rite Aid #11848)
- Walgreen Co (Walgreens #06098)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.