NPIMap

Organization Active NPI

Ultimate Health & Rejuvenation, PC

  • Family Medicine Physician
  • Brunswick, GA
National Provider Identifier
1649677980
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16344 Issued in GA
Legal business name
ULTIMATE HEALTH & REJUVENATION, PC
Practice address
1201 Fountain Park Cir
Brunswick, GA 31520-4859
Phone
(912) 275-7346
Fax
(912) 275-8374
NPI assigned
Dec 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Authorized official

Name
Dr. Eric William Friedrich Sr., MD
Title
Owner
Phone
(912) 275-7346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 16344 GA Primary

Addresses

Primary practice location

1201 Fountain Park Cir
Brunswick, GA 31520-4859

Mailing address

1201 Fountain Park Cir
Brunswick, GA 31520-4859
Phone (912) 275-7346

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1649677980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 FOUNTAIN PARK CIR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204859",
            "telephone_number": "912-275-7346",
            "fax_number": "912-275-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 FOUNTAIN PARK CIR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204859",
            "telephone_number": "912-275-7346",
            "fax_number": "912-275-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE HEALTH & REJUVENATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "FRIEDRICH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-275-7346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "16344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.