Active NPI
Renee Nicole Frederick, MD
- Family Medicine Physician
- Covington, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 94602
- Practice address
- 5126 Hospital Dr NE
Covington, GA 30014-2566 - Phone
- (770) 786-7053
- NPI assigned
- Mar 20, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E-16074 | AR | |
| Family Medicine Physician | 207Q00000X | 94602 | GA | Primary |
Addresses
Primary practice location
5126 Hospital Dr NE
Covington, GA 30014-2566
Mailing address
5126 Hospital Dr NE
Covington, GA 30014-2566
Phone (770) 786-7053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 778-3900
5126 Hospital Dr NE
Covington, GA 30014-2566
Phone (954) 939-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-16074 | AR | MD | Family Medicine Physician |
| 94602 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Paris | Current | Accepting new patients | |
| Hospital Care Consultants of Fordyce LLC | Current | Accepting new patients | |
| Mercy Hospital Booneville | Current | Accepting new patients | |
| Mercy Hospital Paris | Current | Accepting new patients | |
| Anemonefish Inpatient Services LLC | Current | Accepting new patients | |
| Mercy Hospital Waldron | Current | Accepting new patients | |
| Mercy Hospital Ozark | Current | Accepting new patients | |
| Mercy Hospital Waldron | Current | Accepting new patients | |
| Mercy Hospital Ozark | Current | Accepting new patients | |
| Ess of Fordyce LLC | Current | Accepting new patients | |
| Mercy Hospital Waldron | Current | Accepting new patients | |
| Mercy Hospital Booneville | Current | Accepting new patients | |
| Emory Specialty Associates, LLC | Family Medicine | Current | Accepting new patients |
| Mercy Hospital Waldron | Current | Accepting new patients | |
| Arkansas Emergency Staffing Solutions, Inc | Current | Accepting new patients | |
| Ies HSP Arkansas PLLC | Current | Accepting new patients |
Locations
3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524
880 W Main St
Booneville, AR 72927
Phone (479) 675-2800
128 Daniel Dr
Booneville, AR 72927
Phone (479) 675-2455
1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590
3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050
201 N Clifton St
Fordyce, AR 71742
Phone (870) 352-6300
801 W River St
Ozark, AR 72949
Phone (479) 667-4138
500 E Academy St
Paris, AR 72855
Phone (479) 963-6101
1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136
1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340
Interoperability endpoints
- rfrederick1184086@direct.emory.org
Organizations & group practices 16
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.
-
- Internal Medicine Physician
- Covington, GA
- NPI 1033514716
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
Family Medicine
-
- Emergency Medicine Physician
- Hope, AR
- NPI 1275774630
-
- Emergency Medicine Physician
- Fordyce, AR
- NPI 1821547977
-
- Hospitalist Physician
- Fordyce, AR
- NPI 1316497464
-
- Certified Registered Nurse Anesthetist
- Booneville, AR
- NPI 1083004733
-
- Critical Access Hospital
- Booneville, AR
- NPI 1992133714
-
- Critical Access Hospital
- Ozark, AR
- NPI 1275504128
-
- Emergency Care Clinic/Center
- Ozark, AR
- NPI 1881642767
-
- Emergency Care Clinic/Center
- Paris, AR
- NPI 1518915321
-
- Critical Access Hospital
- Paris, AR
- NPI 1760453633
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Dekalb Medical Center at Hillandale
- General Acute Care Hospital
- Lithonia, GA
- NPI 1962403865
-
dba Newton Medical Center
- General Acute Care Hospital
- Covington, GA
- NPI 1760498588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695340800000",
"number": "1497381503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5126 HOSPITAL DR NE",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300142566",
"telephone_number": "770-786-7053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5126 HOSPITAL DR NE",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300142566",
"telephone_number": "770-786-7053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDERICK",
"first_name": "RENEE",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-20",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-16074",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "94602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.