Frix-Jennings Clinic PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34836 Issued in TN

Legal business name

FRIX-JENNINGS CLINIC PC

Practice address

116 W Main St
Henderson, TN 38340-2231

Phone

(731) 989-0001

Fax

(731) 989-5151

NPI assigned

Apr 17, 2007

Last updated

Mar 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carey Wallace Frix, MDNPI 1235124223

Title

President

Phone

(731) 989-0001

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carey Wallace Frix, M.D.

  • Family Medicine Physician
  • Henderson, TN
  • NPI 1235124223
  Medicare reassignment Care Compare group NPD Authorized official
• Bernhard Eric Dietz, M.D.

  • Family Medicine Physician
  • Henderson, TN
  • NPI 1497759807
  Medicare reassignment Care Compare group NPD
• Tammi L Ferguson, FNP

  • Family Nurse Practitioner
  • Bolivar, TN
  • NPI 1023066057
  Medicare reassignment Care Compare group NPD
• Nicole Michelle Jennings, M.D.

  • Internal Medicine Physician
  • Henderson, TN
  • NPI 1801881891
  Medicare reassignment Care Compare group NPD
• Betty A Roe, APN BC

  • Family Nurse Practitioner
  • Jackson, TN
  • NPI 1083692164
  Medicare reassignment Care Compare group NPD
• Leah Beth Gilliam, MD

  • Family Medicine Physician
  • Lexington, TN
  • NPI 1891037875
  Medicare reassignment NPD
• Amanda L Hearn, NP-C

  • Family Nurse Practitioner
  • Henderson, TN
  • NPI 1205109303
  Medicare reassignment NPD
• Alison Montgomery Moore, FNP

  • Family Nurse Practitioner
  • Parsons, TN
  • NPI 1073829180
  Medicare reassignment NPD
• Scott Sampson Norris

  • Family Nurse Practitioner
  • Henderson, TN
  • NPI 1669954889
  Medicare reassignment NPD
• Tracy W Rapp, DNP

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1720451545
  Medicare reassignment NPD
• Pamela Riley, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Selmer, TN
  • NPI 1164807186

  Multi-Specialty

  Medicare reassignment NPD
• Cara Rust Roberson, APRN

  • Family Nurse Practitioner
  • Henderson, TN
  • NPI 1093057465
  Medicare reassignment NPD

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1174749469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W MAIN ST",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383402231",
            "telephone_number": "731-989-0001",
            "fax_number": "731-989-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W MAIN ST",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383402231",
            "telephone_number": "731-989-0001",
            "fax_number": "731-989-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIX-JENNINGS CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "FRIX",
        "authorized_official_first_name": "CAREY",
        "authorized_official_middle_name": "WALLACE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-989-0001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "34836",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "34823",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA6267",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3372940",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fast Pace Medical Clinic PLLC
• Cody Joseph Fletcher, ATC, LAT
• Joshua Fortner, LMSW
• Fred's Pharmacy
• Freed-Hardeman University
• Carey Wallace Frix, M.D.
• Gean Group Henderson (Dee's Discount Drugs)
• Cinda Katherine Gee, LPC/MHSP
• Sejal Ghodadra, D.M.D
• Tobey William Griffin, LSW

• Family Medicine Physician in Henderson, TN
• Providers in Henderson, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.