Active NPI
Frederick R Nusbickel, MD
- Orthopaedic Surgery Physician
- Thomasville, GA
National Provider Identifier
1447222013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- GA031805
- Practice address
- 100 Mimosa Dr
Thomasville, GA 31792-6676 - Phone
- (229) 226-9141
- Fax
- (229) 228-0637
- NPI assigned
- Feb 7, 2006
- Last updated
- May 27, 2008
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | GA031805 | GA | Primary |
Addresses
Primary practice location
100 Mimosa Dr
Thomasville, GA 31792-6676
Mailing address
PO Box 2968
Thomasville, GA 31799-2968
Phone (229) 226-9141
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000398538A | Medicaid | GA | |
| 000398538A | Other | GA | PEACH STATE |
| 200009782 | Other | GA | RAIL ROAD MEDICARE |
| 344368 | Other | GA | WELLCARE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101130000536 | GA | Practitioner - Orthopedic Surgery | 3476558669 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GA031805 | GA | MD | Orthopaedic Surgery Physician |
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Thomasville, GA
- NPI 1902864754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1447222013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2968",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317992968",
"telephone_number": "229-226-9141",
"fax_number": "229-228-0637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MIMOSA DR",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317926676",
"telephone_number": "229-226-9141",
"fax_number": "229-228-0637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUSBICKEL",
"first_name": "FREDERICK",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "GA031805",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000398538A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEACH STATE",
"identifier": "000398538A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "200009782",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "344368",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thomasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.