Individual provider Active NPI

Alesha J. Froehlich, FNP

  • Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1477840437
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN168282 Issued in GA
Practice address
4750 Waters Ave
Suite 307
Savannah, GA 31404-6200
Phone
(912) 350-7914
Fax
(912) 350-7973
NPI assigned
Jun 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN168282 GA
Nurse Practitioner 363L00000X RN168282 GA Primary

Addresses

Primary practice location

4750 Waters Ave
Suite 307
Savannah, GA 31404-6200

Mailing address

4750 Waters Ave Ste 307
Savannah, GA 31404-6268
Phone (912) 350-7914

Other practice location 1

4750 Waters Ave Ste 307
Savannah, GA 31404-6268
Phone (912) 350-7914

Other identifiers 4

IdentifierTypeStateIssuer
618950OtherGAWELLCARE
NP1875MedicaidSC
003111120AMedicaidGA
P00955089OtherGARAILROAD MEDICARE

Other names 1

  • Alesha J. Olsson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address afroehlich49924@epicsav.hcadirect.net

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110810000565 GA Practitioner - Nurse Practitioner 4082883988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN168282GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MPPG, Inc. Current Accepting new patients

Locations

4750 Waters Ave
Ste 307
Savannah, GA 31404
Phone (912) 350-3355

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1477840437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 WATERS AVE STE 307",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046268",
            "telephone_number": "912-350-7914",
            "fax_number": "912-350-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 WATERS AVE",
            "address_2": "SUITE 307",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046200",
            "telephone_number": "912-350-7914",
            "fax_number": "912-350-7973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4750 Waters Ave Ste 307",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314046268",
            "country_code": "US",
            "telephone_number": "912-350-7914",
            "fax_number": "912-350-7973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FROEHLICH",
        "first_name": "ALESHA",
        "middle_name": "J.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN168282",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN168282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "618950",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1875",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003111120A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00955089",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "afroehlich49924@epicsav.hcadirect.net",
            "affiliation": "N",
            "address_1": "4750 Waters Ave Ste 307",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314046268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALESHA",
            "last_name": "OLSSON",
            "middle_name": "J.",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.