Active NPI
Jeffrey Robert Fraser, P.T.
- Clinical Electrophysiology Physical Therapist
- Columbus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Electrophysiology Physical Therapist
- License
- 005550
- Practice address
- 6298 Veterans Pkwy
Suite 5a
Columbus, GA 31909-6258 - Phone
- (706) 322-7762
- NPI assigned
- May 30, 2006
- Last updated
- Nov 29, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Electrophysiology Physical Therapist | 2251E1300X | 005550 | GA | Primary |
Addresses
Primary practice location
6298 Veterans Pkwy
Suite 5a
Columbus, GA 31909-6258
Mailing address
8005 Creek Flow Dr
Midland, GA 31820-4145
Phone (706) 580-5876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 931-1159
122 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 931-1159
126 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 931-1159
132 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 931-1159
151 Mayo St
Suite B
Americus, GA 31709-4782
Phone (229) 928-2900
151 Mayo St a
Americus, GA 31709-4782
Phone (229) 312-5800
151 Mayo St C
Americus, GA 31709-4782
Phone (229) 928-2882
151 Mayo St D
Americus, GA 31709-4782
Phone (229) 928-1100
151 Mayo St E
Americus, GA 31709-4782
Phone (229) 931-1159
2709 Meredyth Dr
Suite 450
Albany, GA 31707-0220
Phone (229) 446-1990
6298 Veterans Pkwy
Suite 5a
Columbus, GA 31909-6245
Phone (706) 320-0927
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005550 | GA | MD | Clinical Electrophysiology Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Human Performance and Rehabilitation Centers, LLC | Electrophysiology, Clinical | Current | Accepting new patients |
| Horizons Diagnostics, L.L.C. | Current | Accepting new patients | |
| Horizons Diagnostics, L.L.C. | Current | Accepting new patients | |
| Phoebe Physician Group, Inc | Current | Accepting new patients |
Locations
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
106 Enterprise Ct
Ste A
Columbus, GA 31904
Phone (706) 321-2555
106 Enterprise Ct
Ste C
Columbus, GA 31904
Phone (706) 221-6448
3934 Woodruff Rd
Columbus, GA 31904
Phone (706) 321-0476
6298 Veterans Pkwy
Ste 5A
Columbus, GA 31909
Phone (706) 320-0927
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FDJDBA
Organizations & group practices 4
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.
-
- Physical Therapist
- Columbus, GA
- NPI 1104415983
Electrophysiology, Clinical
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Family Medicine Physician
- Columbus, GA
- NPI 1366443368
-
- Specialist
- Opelika, AL
- NPI 1346685765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1356398622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8005 CREEK FLOW DR",
"city": "MIDLAND",
"state": "GA",
"postal_code": "318204145",
"telephone_number": "706-580-5876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6298 VETERANS PKWY",
"address_2": "SUITE 5A",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319096258",
"telephone_number": "706-322-7762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRASER",
"first_name": "JEFFREY",
"middle_name": "ROBERT",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2023-11-29",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251E1300X",
"taxonomy_group": "",
"desc": "Physical Therapist, Electrophysiology, Clinical",
"state": "GA",
"license": "005550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.