Individual provider Active NPI

Carey Wallace Frix, M.D.

  • Family Medicine Physician
  • Henderson, TN
National Provider Identifier
1235124223
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD0000034836 Issued in TN
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

Updated by the provider on Jan 26, 2021

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 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

IdentifierTypeStateIssuer
P00065503OtherTNRAILROAD MEDICARE
3868049MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PCGroup PAC ID 7618934449, 5 clinicians

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 Hospital, Jackson, TN, CCN 440002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions13
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000034836TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frix-Jennings Clinic PC Family Medicine CurrentSince Oct 1, 2001 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.