Active NPI
Hughan R.H Frederick, M.D.
- Obstetrics & Gynecology Physician
- Roswell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 056706
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 824311960A | Medicaid | GA |
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
Enrollment records 1
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
Practice addresses (Care Compare)
1297 Hembree Rd
Roswell, GA 30076-3814
Phone 7705212229118
Hospital & facility affiliations
- Wellstar North Fulton Medical Center
- Northside Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301078310 | MI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Isis Obstetrics & Gynecology, LLC | Obstetrics & Gynecology | Current | 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
- 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.
-
- Obstetrics & Gynecology Physician
- Alpharetta, GA
- NPI 1881768463
-
- General Acute Care Hospital
- Roswell, GA
- NPI 1750312997
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Roswell, GA
- NPI 1750312997
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.
- 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.