Individual provider Active NPI

Ronald M Frye, MD

  • Family Medicine Physician
  • Redstone Arsenal, AL
National Provider Identifier
1194790287
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13263 Issued in MS
Practice address
4100 Goss Rd
Fox Army Health Center, Primary Care Clinic
Redstone Arsenal, AL 35809-7000
Phone
(256) 955-8888
Fax
(256) 313-6734
NPI assigned
Feb 22, 2006
Last updated
Sep 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13263 MS Primary

Addresses

Primary practice location

4100 Goss Rd
Fox Army Health Center, Primary Care Clinic
Redstone Arsenal, AL 35809-7000

Mailing address

4100 Goss Rd
Fox Army Health Center, Credentials Coordinator
Redstone Arsenal, AL 35809-7000
Phone (256) 955-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140416001610 MS Practitioner - Family Practice 6103058623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

405 Main St
Fayette, MS 39069-5576
Phone (601) 786-3475

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Comprehensive Health Center, Inc. CurrentSince Dec 17, 2013 Accepting new patients
Jefferson Comprehensive Health Center, Inc. CurrentSince Dec 17, 2013 Accepting new patients
Jefferson Comprehensive Health Center, Inc. Current Accepting new patients

Locations

225 Community Dr
Fayette, MS 39069
Phone (601) 786-2475

405 Main St
Fayette, MS 39069

145 Homochitto St
Natchez, MS 39120
Phone (601) 442-4863

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1194790287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 GOSS RD",
            "address_2": "FOX ARMY HEALTH CENTER, CREDENTIALS COORDINATOR",
            "city": "REDSTONE ARSENAL",
            "state": "AL",
            "postal_code": "358097000",
            "telephone_number": "256-955-8888",
            "fax_number": "256-313-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 GOSS RD",
            "address_2": "FOX ARMY HEALTH CENTER, PRIMARY CARE CLINIC",
            "city": "REDSTONE ARSENAL",
            "state": "AL",
            "postal_code": "358097000",
            "telephone_number": "256-955-8888",
            "fax_number": "256-313-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYE",
        "first_name": "RONALD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "13263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redstone Arsenal, AL

Sources for this page

Verify at the official NPI Registry.