Individual provider Active NPI

Woodrow Dwight Frisbee Jr., M.D.

  • Surgery Physician
  • Cumming, GA
National Provider Identifier
1477753531
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35122 Issued in VA
Practice address
2435 Grandale Dr
Cumming, GA 30041-1582
Phone
(770) 781-4691
NPI assigned
Jul 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35122 VA Primary

Addresses

Primary practice location

2435 Grandale Dr
Cumming, GA 30041-1582

Mailing address

2435 Grandale Dr
Cumming, GA 30041-1582
Phone (770) 781-4691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35122VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Atlanta Surgical Associates Surgery Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1477753531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 GRANDALE DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300411582",
            "telephone_number": "770-781-4691",
            "fax_number": "770-781-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 GRANDALE DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300411582",
            "telephone_number": "770-781-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISBEE",
        "first_name": "WOODROW",
        "middle_name": "DWIGHT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "35122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.