Individual provider Active NPI

Hughan R.H Frederick, M.D.

  • Obstetrics & Gynecology Physician
  • Roswell, GA
National Provider Identifier
1295828978
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
056706 Issued in GA
Practice address
1015 Mansell Rd
Roswell, GA 30076-1507
Phone
(770) 521-2229
Fax
(770) 521-2231
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 056706 GA Primary
Obstetrics & Gynecology Physician 207V00000X 4301078310 MI

Addresses

Primary practice location

1015 Mansell Rd
Roswell, GA 30076-1507

Mailing address

PO Box 707
Alpharetta, GA 30009-0707
Phone (770) 521-2229

Other identifiers 1

IdentifierTypeStateIssuer
824311960AMedicaidGA

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070122000467 GA Practitioner - Obstetrics/Gynecology 3274534078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Michigan Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Isis Obstetrics and Gynecology, LLCGroup PAC ID 9032280698, 2 clinicians

Practice addresses (Care Compare)

1297 Hembree Rd
Roswell, GA 30076-3814
Phone 7705212229118

Hospital & facility affiliations

  • Wellstar North Fulton Medical Center Hospital, Roswell, GA, CCN 110198
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301078310MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Isis Obstetrics & Gynecology, LLC Obstetrics & Gynecology CurrentSince Nov 6, 2006 Accepting new patients
Wellstar North Fulton Hospital, Inc Past Accepting new patients

Locations

11315 Johns Creek Pkwy
Ste 120
Johns Creek, GA 30097

960 Holcomb Bridge Rd
Ste 170
Roswell, GA 30076

1015 Mansell Rd
Roswell, GA 30076
Phone (770) 462-0313

960 Holcomb Bridge Rd
Roswell, GA 30076
Phone (678) 722-8930

1297 Hembree Rd
Ste 100
Roswell, GA 30076
Phone (608) 336-3363

Interoperability endpoints

  • Direct secure messaging: hughan.frederick.1@19519.direct.athenahealth.com

Organizations & group practices 2

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 2

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1295828978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 707",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300090707",
            "telephone_number": "770-521-2229",
            "fax_number": "770-521-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 MANSELL RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761507",
            "telephone_number": "770-521-2229",
            "fax_number": "770-521-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "HUGHAN",
        "middle_name": "R.H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "056706",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301078310",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "824311960A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.