Individual provider Active NPI

Jeffrey Robert Fraser, P.T.

  • Clinical Electrophysiology Physical Therapist
  • Columbus, GA
National Provider Identifier
1356398622
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X
License
005550 Issued in GA
Practice address
6298 Veterans Pkwy
Suite 5a
Columbus, GA 31909-6258
Phone
(706) 322-7762
NPI assigned
May 30, 2006
Last updated
Nov 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20060830000156 GA Practitioner - Physical Therapist in Private Practice 2365446630 Reassigns benefits to 3 organizations

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
Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians

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 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005550GAMDClinical Electrophysiology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Human Performance and Rehabilitation Centers, LLC Electrophysiology, Clinical CurrentSince Dec 1, 2020 Accepting new patients
Horizons Diagnostics, L.L.C. CurrentSince Feb 1, 2021 Accepting new patients
Horizons Diagnostics, L.L.C. CurrentSince Feb 1, 2021 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Oct 1, 2024 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.