Justin Frialde, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

339666 Issued in GA

Practice address

2000 Dan Proctor Dr
Saint Marys, GA 31558-3810

Phone

(912) 576-6200

NPI assigned

Dec 8, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1679436513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 COLLIN NICHOLAS DR",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315481337",
            "telephone_number": "912-400-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 DAN PROCTOR DR",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583810",
            "telephone_number": "912-576-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIALDE",
        "first_name": "JUSTIN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "GA",
            "license": "339666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gainesville Vamc

• Emergency Registered Nurse in Saint Marys, GA
• Providers in Saint Marys, GA by specialty
• Emergency Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.