Individual provider Active NPI

Collina Afriyie, PAC

  • Medical Physician Assistant
  • Frederick, MD
National Provider Identifier
1316336449
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0005636 Issued in MD
Practice address
196 Thomas Johnson Dr Ste 120
Frederick, MD 21702-4521
Phone
(240) 566-3130
Fax
(240) 566-3131
NPI assigned
Jan 13, 2015
Last updated
Jul 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C05636 MD
Medical Physician Assistant 363AM0700X C0005636 MD Primary

Addresses

Primary practice location

196 Thomas Johnson Dr Ste 120
Frederick, MD 21702-4521

Mailing address

1301 Volunteer Dr
Brunswick, MD 21716-9706
Phone (571) 385-9648

Other identifiers 1

IdentifierTypeStateIssuer
521041100MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cafriyie@thecns.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150319002529 MD Practitioner - Physician Assistant 4587981139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

187 Thomas Johnson Dr
Suite 6
Frederick, MD 21702-4503

196 Thomas Johnson Dr
Suite 120
Frederick, MD 21702-4521
Phone (240) 566-3130

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Neurology Services, P.a. CurrentSince Jun 20, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

196 Thomas Johnson Dr
Ste 120
Frederick, MD 21702
Phone (240) 566-3130

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

Interoperability endpoints

  • Direct secure messaging: cafriyie@thecns.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1316336449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 VOLUNTEER DR",
            "city": "BRUNSWICK",
            "state": "MD",
            "postal_code": "217169706",
            "telephone_number": "571-385-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 THOMAS JOHNSON DR STE 120",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024521",
            "telephone_number": "240-566-3130",
            "fax_number": "240-566-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFRIYIE",
        "first_name": "COLLINA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-13",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C05636",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0005636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "521041100",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cafriyie@thecns.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "196 Thomas Johnson Dr Ste 120",
            "city": "Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217024521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.