Amanda Marie Frederick

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-08418 Issued in NC

Practice address

7349 Statesville Rd # B
Charlotte, NC 28269-3702

Phone

(866) 550-3472

Fax

(704) 973-7875

NPI assigned

Nov 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Carolina Advanced Wellness, PLLC

  • Family Medicine Physician
  • Huntersville, NC
  • NPI 1538785159
  NPD
• Raleigh Emergency Surgical, Inc

  • Surgery Physician
  • Raleigh, NC
  • NPI 1427872548
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1386112100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8936 CYPRESS FOREST DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282161674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7349 STATESVILLE RD # B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693702",
            "telephone_number": "866-550-3472",
            "fax_number": "704-973-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Patrick Frebel, PA-C
• Madeline Renee Frebel, DOT
• Frederick Sterling Freda, CRNA
• Jennifer Freda
• Frederick M Joubert DDS PLLC
• Elizabeth Frederick
• Hannah Noel Frederick
• John Richards Frederick, MD
• Miesha Shineaquah Frederick
• Natalie Frederick

• All providers in Charlotte, NC
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.