Individual provider Active NPI

Stephen M Frazee, D.C.

  • Chiropractor
  • Powder Springs, GA
National Provider Identifier
1265656003
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR005223 Issued in GA
Practice address
4052 Atlanta St
Suite C
Powder Springs, GA 30127-2693
Phone
(770) 439-0198
Fax
(770) 439-0297
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR005223 GA Primary

Addresses

Primary practice location

4052 Atlanta St
Suite C
Powder Springs, GA 30127-2693

Mailing address

773 Denards ML SE
Marietta, GA 30067-5153
Phone (404) 822-3781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231228000617 GA Practitioner - Chiropractic 7113377540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Family Health ChiropracticGroup PAC ID 4486626868, 3 clinicians

Practice addresses (Care Compare)

92 Village at Glynn PL
Brunswick, GA 31525-1993
Phone (912) 261-0806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
CHIR005223GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Chiropractic CurrentSince Dec 1, 2023 Accepting new patients

Locations

92 Village At Glynn Pl
Brunswick, GA 31525
Phone (912) 261-0806

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.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1265656003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 DENARDS ML SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675153",
            "telephone_number": "404-822-3781",
            "fax_number": "770-439-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4052 ATLANTA ST",
            "address_2": "SUITE C",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301272693",
            "telephone_number": "770-439-0198",
            "fax_number": "770-439-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZEE",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powder Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.