Active NPI
Carey Wallace Frix, M.D.
- Family Medicine Physician
- Henderson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD0000034836
- Practice address
- 116 W Main St
Henderson, TN 38340-2231 - Phone
- (731) 989-0001
- Fax
- (731) 989-5151
- NPI assigned
- Sep 15, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD0000034836 | TN | Primary |
Addresses
Primary practice location
116 W Main St
Henderson, TN 38340-2231
Mailing address
116 W Main St
Henderson, TN 38340-2231
Phone (731) 989-0001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00065503 | Other | TN | RAILROAD MEDICARE |
| 3868049 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060106000792 | TN | Practitioner - Family Practice | 1759348592 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Tennessee, HSC, College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Frix-Jennings Clinic PC
Practice addresses (Care Compare)
1314 Hwy 45 Bypass
Suite a
Henderson, TN 38340-4003
Phone (731) 989-0001
Hospital & facility affiliations
- Jackson-Madison County General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 13 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000034836 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frix-Jennings Clinic PC | Family Medicine | Current | Accepting new patients |
Locations
1700 W Market St
Ste J
Bolivar, TN 38008
Phone (731) 652-5772
116 W Main St
Henderson, TN 38340
Phone (731) 427-5581
1314 US Highway 45 N
Henderson, TN 38340
Phone (731) 983-5716
59 S Main St
Memphis, TN 38103
Phone (731) 989-0001
50 Skyline Ln
Parsons, TN 38363
Phone (731) 847-6373
Interoperability endpoints
- carey.frix.1@29749.direct.athenahealth.com
Organizations & group practices 1
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.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1235124223",
"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": {
"last_name": "FRIX",
"first_name": "CAREY",
"middle_name": "WALLACE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-15",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "MD0000034836",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00065503",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3868049",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.