Active NPI
Stephen M Frazee, D.C.
- Chiropractor
- Powder Springs, GA
National Provider Identifier
1265656003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR005223
- 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
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 |
|---|---|---|---|---|
| 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
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1994
- Medicare assignment
- May accept Medicare assignment
- Group practices
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR005223 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Chiropractic | Current | 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.
-
- Sports Physician Chiropractor
- Brunswick, GA
- NPI 1598952384
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.