Individual provider Active NPI

Christopher Jerome Frailie, MD

  • Emergency Medicine Physician
  • Foley, AL
National Provider Identifier
1487710042
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
00024424 Issued in AL
Practice address
1613 N McKenzie Street
Foley, AL 36535
Phone
(251) 949-3400
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 00024424 AL Primary

Addresses

Primary practice location

1613 N McKenzie Street
Foley, AL 36535

Mailing address

PO Box 1080
Foley, AL 36536-1080
Phone (251) 970-1646

Other identifiers 10

IdentifierTypeStateIssuer
009912238MedicaidAL
009912306MedicaidAL
009912303MedicaidAL
510-07041OtherALBCBS
009912304MedicaidAL
510-07037OtherALBCBS
510-07038OtherALBCBS
009994755MedicaidAL
1487710042OtherALTRICARE SOUTH
510-07039OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050627000266 AL Practitioner - Emergency Medicine 5092750471 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of South Alabama College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gmuc of SaralandGroup PAC ID 8820211436, 39 clinicians

Practice addresses (Care Compare)

1114 Shelton Beach Rd
Saraland, AL 36571-3016
Phone (251) 633-0123

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00024424ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gmuc of Saraland CurrentSince Jun 1, 2014 Accepting new patients
Greater Mobile Urgent Care CurrentSince Sep 1, 2013 Accepting new patients
Gmuc of Springhill LLC CurrentSince Sep 1, 2013 Accepting new patients
Gmuc of Citronelle LLC CurrentSince Sep 1, 2013 Accepting new patients
Greater Mobile Urgent Care CurrentSince Sep 1, 2013 Accepting new patients
Emergency Services of Mobile PC Emergency Medicine Past Accepting new patients
Emerald Healthcare Group PA Past Accepting new patients
Mobile Emergency Group PC Emergency Medicine Past Accepting new patients

Locations

19355 N 3rd St
Ste 104
Citronelle, AL 36522
Phone (251) 633-0123

4402 Old Shell Rd
Mobile, AL 36608
Phone (251) 633-0123

2350 Schillinger Rd S
Ste A
Mobile, AL 36695
Phone (251) 633-0123

1114 Shelton Beach Rd
Saraland, AL 36571
Phone (251) 633-0123

7943 Moffett Rd
Semmes, AL 36575
Phone (251) 445-7618

Organizations & group practices 8

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1487710042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365361080",
            "telephone_number": "251-970-1646",
            "fax_number": "251-970-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 N MCKENZIE STREET",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "36535",
            "telephone_number": "251-949-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAILIE",
        "first_name": "CHRISTOPHER",
        "middle_name": "JEROME",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "00024424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009912238",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009912306",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009912303",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-07041",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009912304",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-07037",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-07038",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009994755",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "1487710042",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-07039",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

Verify at the official NPI Registry.