Heather Hawn Fry, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN243206 Issued in GA

Practice address

4355 Browns Bridge Rd
Cumming, GA 30041-4554

Phone

(770) 771-5050

NPI assigned

Jun 3, 2017

Last updated

Jun 3, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Accordia Healthcare LLC

  • Primary Care Clinic/Center
  • Vidalia, GA
  • NPI 1962826511
  Medicare reassignment NPD
• Peachtree Immediate Care FP, LLC

  • Family Medicine Physician
  • Hiram, GA
  • NPI 1437194156
  NPD
• Family Health Centers Inc Dba Russell Medical

  • Emergency Medicine Physician
  • Cumming, GA
  • NPI 1295643690
  NPD (past)

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

{
    "created_epoch": "1496448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496448000000",
    "number": "1245768266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 BROWNS BRIDGE RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300414554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 BROWNS BRIDGE RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300414554",
            "telephone_number": "770-771-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "HEATHER",
        "middle_name": "HAWN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-03",
        "last_updated": "2017-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN243206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Friedman
• Kevin Friedrich, MD
• Friendship Family Chiropractic Group, PC
• Jennifer Wiger Frierson, OTR/L
• Woodrow Dwight Frisbee Jr., M.D.
• Sydney Frye, BCBA
• Joseph Andrew Frysz Jr., PT
• Fukuzato Eyecare, Inc (Optic Owl Company)
• Patricia Grace Fukuzato, O.D.
• Katherine Ann Fulco, CNP

• Family Nurse Practitioner in Cumming, GA
• Providers in Cumming, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.