Individual provider Active NPI

Elaine Frazier, M.D.

  • Emergency Medicine Physician
  • Kingsport, TN
National Provider Identifier
1689795007
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
44921 Issued in TN
Practice address
410 Golf Ridge Dr
Kingsport, TN 37664
Phone
(443) 752-7207
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 0101245480 VA
Internal Medicine Physician 207R00000X 0101245480 VA
Hospitalist Physician 208M00000X 44921 TN
Emergency Medicine Physician 207P00000X 44921 TN Primary

Addresses

Primary practice location

410 Golf Ridge Dr
Kingsport, TN 37664

Mailing address

410 Golf Ridge Dr
Kingsport, TN 37664-4279
Phone (443) 752-7207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20090605000104 VA Practitioner - Emergency MedicinePractitioner - Internal Medicine 6103976501 Reassigns benefits to 1 organization
I20110718000748 TN Practitioner - Emergency MedicinePractitioner - Internal Medicine 6103976501 Reassigns benefits to 2 organizations
I20190314001567 FL Practitioner - Internal MedicinePractitioner - Emergency Medicine 6103976501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians

Practice addresses (Care Compare)

611 Zeagler Dr
Palatka, FL 32177-3810
Phone (800) 424-3672

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Mar 15, 2014 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Mar 1, 2019 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jun 1, 2011 Accepting new patients
Norton Community Physician Services LLC Internal Medicine Past Accepting new patients
Norton Community Physician Services LLC Internal Medicine Past Accepting new patients

Locations

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

726 McFarland St
Morristown, TN 37814
Phone (423) 522-6160

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1689795007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 GOLF RIDGE DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376644279",
            "telephone_number": "443-752-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 GOLF RIDGE DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "37664",
            "telephone_number": "443-752-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "VA",
            "license": "0101245480",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101245480",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "44921",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "44921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.