Frieda Allene Underwood, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN107422 Issued in GA

Practice address

5400 Bowman Rd
Suite 100
Macon, GA 31210-8879

Phone

(478) 745-6576

Fax

(478) 746-0018

NPI assigned

Nov 9, 2009

Last updated

Jul 25, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in GA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIFEAA

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.

• Urology Specialists of Georgia

  • Urology Physician
  • Macon, GA
  • NPI 1699786590
  Medicare reassignment NPD
• Central Georgia Kidney Specialists, PC

  • Specialist
  • Macon, GA
  • NPI 1154373314
  NPD (past)

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1770810061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 BOWMAN RD",
            "address_2": "SUITE 100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108879",
            "telephone_number": "478-745-6576",
            "fax_number": "478-746-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BOWMAN RD",
            "address_2": "SUITE 100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108879",
            "telephone_number": "478-745-6576",
            "fax_number": "478-746-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "FRIEDA",
        "middle_name": "ALLENE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-09",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN107422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelechi Ndiribe Camille Ukegbu, PHARMD
• Wesley D Ulrich, M.D.
• Umerah Family Practice LLC
• Nnaemeka M Umerah, M.D.
• Casey Underhill, MD
• Unihealth Solutions, Inc. (UniHealth Solutions of Macon)
• Joseph M Union Jr., PAA
• Unionville Discount Pharmacy Inc
• Unionville Discount Pharmacy Inc (Mike's Medical Pharmacy)
• Unique Health Care Services LLC

• Family Nurse Practitioner in Macon, GA
• Providers in Macon, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.