Active NPI
Eric William Friedrich II
- Personal Care Attendant
- Brunswick, GA
National Provider Identifier
1659721348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 063-R-1309
- Practice address
- 160 Eh Dr
Brunswick, GA 31520-2193 - Phone
- (912) 275-7133
- Fax
- (912) 335-5694
- NPI assigned
- Jun 14, 2016
- Last updated
- Jun 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | NU | ||
| Personal Care Attendant | 3747P1801X | 063-R-1309 | GA | Primary |
| Nurse's Aide | 376K00000X | NU |
Addresses
Primary practice location
160 Eh Dr
Brunswick, GA 31520-2193
Mailing address
160 Eh Dr
Brunswick, GA 31520-2193
Phone (912) 275-7133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063-R-1309 | GA | MD | Personal Care Attendant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stone and Friedrich Partners, LLC | Past | Accepting new patients | |
| Efriedrich Southeast Georgia | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba FirstLight HomeCare of Southeast Georgia
- In Home Supportive Care Agency
- Brunswick, GA
- NPI 1477979425
-
dba FirstLight Home Care of the Beaches
- Home Health Agency
- Brunswick, GA
- NPI 1265913586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465862400000",
"number": "1659721348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 EH DR",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315202193",
"telephone_number": "912-275-7133",
"fax_number": "912-335-5694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 EH DR",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315202193",
"telephone_number": "912-275-7133",
"fax_number": "912-335-5694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDRICH",
"first_name": "ERIC",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"name_suffix": "II",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-14",
"last_updated": "2016-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "GA",
"license": "063-R-1309",
"primary": true
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, GA
- Chandler Fox, DPT
- Jamya Frazier
- Thomas Freney
- Fresenius Medical Care Dialysis of Golden Isles, LLC (Fresenius Medical Care Dialysis of Golden Isles)
- Friedrich Medical Center P.C.
- Amelia Harper Fritchman, MED CCC-SLP
- Adriana Fuel, IBCLC
- Nicole Shupe Fullard, NP
- Linda Sue Fuller, LCMHC
- G. Michael Wommack, DMD, PC (Wommack Dentistry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.