Organization Active NPI

Jeffrey a. Fried, MD PC

  • Orthopaedic Surgery Physician
  • Macon, GA
National Provider Identifier
1255414587
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
JEFFREY A. FRIED, MD PC
Practice address
6501 Peake Rd
BLDG 400
Macon, GA 31210-8042
Phone
(478) 477-0966
Fax
(478) 475-0084
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Dr. Jeffrey A Fried, M.D.
Title
Owner
Phone
(478) 477-0966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X GA Primary

Addresses

Primary practice location

6501 Peake Rd
BLDG 400
Macon, GA 31210-8042

Mailing address

PO Box 5048
Macon, GA 31208-5048
Phone (478) 477-0966

Other identifiers 1

IdentifierTypeStateIssuer
DE6814OtherGARAILROAD MEDICARE GRP #

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1255414587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5048",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312085048",
            "telephone_number": "478-477-0966",
            "fax_number": "478-475-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 PEAKE RD",
            "address_2": "BLDG 400",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108042",
            "telephone_number": "478-477-0966",
            "fax_number": "478-475-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY A. FRIED, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "FRIED",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-477-0966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GRP #",
            "identifier": "DE6814",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.