Individual provider Active NPI

Frank A Critz, MD

  • Specialist
  • Decatur, GA
National Provider Identifier
1619951092
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
018007 Issued in GA
Practice address
2349 Lawrenceville Hwy
Decatur, GA 30033-3143
Phone
(404) 320-1550
Fax
(404) 728-1081
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 018007 GA Primary

Addresses

Primary practice location

2349 Lawrenceville Hwy
Decatur, GA 30033-3143

Mailing address

PO Box 116470
Atlanta, GA 30368-2339
Phone (770) 682-2080

Other identifiers 2

IdentifierTypeStateIssuer
000190424FMedicaidGA
00190242BMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070228000207 GA Practitioner - Diagnostic Radiology 0345235743 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018007GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rockdale County Radiation Specialist CurrentSince Dec 29, 2006 Accepting new patients
Radiotherapy Clinics of Georgia,LLC Specialist CurrentSince Dec 29, 2006 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Frank a Critz,MD Specialist PastSince Feb 1, 1989 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1293 Wellbrook Cir NE
Conyers, GA 30012
Phone (770) 682-2099

2349 Lawrenceville Hwy
Decatur, GA 30033
Phone (404) 320-1550

311 Philip Blvd
Lawrenceville, GA 30046
Phone (770) 945-3000

Organizations & group practices 5

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1619951092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116470",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682339",
            "telephone_number": "770-682-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2349 LAWRENCEVILLE HWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333143",
            "telephone_number": "404-320-1550",
            "fax_number": "404-728-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRITZ",
        "first_name": "FRANK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "018007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000190424F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00190242B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.