Active NPI
Jeannette I Frei, M.D.
- Family Medicine Physician
- Fayetteville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 97455
- Practice address
- 730 Glynn St S
Fayetteville, GA 30214-2050 - Phone
- (770) 460-3650
- NPI assigned
- Feb 24, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 97455 | GA | Primary |
Addresses
Primary practice location
730 Glynn St S
Fayetteville, GA 30214-2050
Mailing address
273 Kite Lake Rd
Fayetteville, GA 30214-9608
Other practice location 1
7601 Hospital Dr
Suite 204
Sacramento, CA 95823-5408
Phone (916) 681-6622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A608670 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical College of Georgia School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 Collier Rd NW
Suite 5020
Atlanta, GA 30309-1731
Phone (404) 367-3210
730 Glynn St S
Fayetteville, GA 30214-2050
Phone (770) 460-3650
Hospital & facility affiliations
- Piedmont Hospital, Inc
- Piedmont Fayette Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Medical Care Corporation | Family Medicine | Current | Accepting new patients |
| Peachtree Immediate Care FP, LLC | Family Medicine | Current | Accepting new patients |
Locations
105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860
2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421
730 Glynn St S
Fayetteville, GA 30214
Phone (770) 460-3650
590 Lanier Ave W
Fayetteville, GA 30214
1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776
3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900
Organizations & group practices 3
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
- Atlanta, GA
- NPI 1912956046
Family Medicine
-
- Family Medicine Physician
- Hiram, GA
- NPI 1437194156
-
- Nephrology Physician
- Stockbridge, GA
- NPI 1104088905
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1679549125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "273 KITE LAKE RD",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302149608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 GLYNN ST S",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302142050",
"telephone_number": "770-460-3650"
}
],
"practiceLocations": [
{
"address_1": "7601 Hospital Dr",
"address_2": "Suite 204",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958235408",
"country_code": "US",
"telephone_number": "916-681-6622",
"fax_number": "916-681-6444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREI",
"first_name": "JEANNETTE",
"middle_name": "I",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-24",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "97455",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A608670",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.