Active NPI
Michael Reid Frady, D.C.
- Chiropractor
- McDonough, GA
National Provider Identifier
1780606947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR006034
- Practice address
- 900 Hampton Rd
McDonough, GA 30253-6570 - Phone
- (770) 957-0137
- Fax
- (770) 957-9303
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR006034 | GA | Primary |
Addresses
Primary practice location
900 Hampton Rd
McDonough, GA 30253-6570
Mailing address
PO Box 69
Jonesboro, GA 30237-0069
Phone (770) 961-5577
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR006034 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Chiropractic & Therapy | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Exclusive Provider Organization
- Athens, GA
- NPI 1851575500
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780606947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302370069",
"telephone_number": "770-961-5577",
"fax_number": "770-961-1407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 HAMPTON RD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302536570",
"telephone_number": "770-957-0137",
"fax_number": "770-957-9303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRADY",
"first_name": "MICHAEL",
"middle_name": "REID",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR006034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.