Active NPI
Kathleen Stephens Frazier, NP-C
- Nurse Practitioner
- Macon, GA
National Provider Identifier
1477717015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN149395
- Practice address
- 639 Hemlock St
Suite 100
Macon, GA 31201-6886 - Phone
- (478) 755-1560
- Fax
- (478) 755-1562
- NPI assigned
- Jul 14, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN149395 | GA | Primary |
Addresses
Primary practice location
639 Hemlock St
Suite 100
Macon, GA 31201-6886
Mailing address
639 Hemlock St
Suite 100
Macon, GA 31201-6886
Phone (478) 755-1560
Other names 1
- Kathleen Stephens Ruiz
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macon Electrophysiology Associates | Current | Accepting new patients | |
| Georgia Arrhythmia Consultants and Research Institute | Past | Accepting new patients |
Locations
639 Hemlock St
Ste 100
Macon, GA 31201
Organizations & group practices 2
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.
-
- Clinical Cardiac Electrophysiology Physician
- Macon, GA
- NPI 1306923495
-
- Clinical Cardiac Electrophysiology Physician
- Macon, GA
- NPI 1548759178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215993600000",
"number": "1477717015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 HEMLOCK ST",
"address_2": "SUITE 100",
"city": "MACON",
"state": "GA",
"postal_code": "312016886",
"telephone_number": "478-755-1560",
"fax_number": "478-755-1562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "639 HEMLOCK ST",
"address_2": "SUITE 100",
"city": "MACON",
"state": "GA",
"postal_code": "312016886",
"telephone_number": "478-755-1560",
"fax_number": "478-755-1562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "KATHLEEN",
"middle_name": "STEPHENS",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-14",
"last_updated": "2008-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN149395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "RUIZ",
"middle_name": "STEPHENS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.