Active NPI
Andrew H Frazer, MD
- Anesthesiology Physician
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 39343
- Practice address
- 758 Old Norcross Rd Ste 125
Lawrenceville, GA 30046-3387 - Phone
- (678) 987-0820
- NPI assigned
- Jun 14, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 039343 | GA | |
| Anesthesiology Physician | 207L00000X | 39343 | GA | Primary |
Addresses
Primary practice location
758 Old Norcross Rd Ste 125
Lawrenceville, GA 30046-3387
Mailing address
PO Box 551420
Fort Lauderdale, FL 33355-1420
Phone (800) 243-3839
Other practice location 1
1000 Medical Center Blvd
Lawrenceville, GA 30046-0000
Phone (770) 277-3056
Other practice location 2
550 Medical Center Blvd
Lawrenceville, GA 30046-7688
Phone (678) 312-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00708771B | Medicaid | GA | |
| 000708771B | Medicaid | GA |
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
- Anesthesiology
- Education
- University of South Florida College of Medicine, 1992
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 702-1806
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039343 | GA | MD | Anesthesiology Physician |
| 39343 | GA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology Associates of Georgia, LLC | Anesthesiology | Current | Accepting new patients |
| Mak Anesthesia Georgia, LLC | Anesthesiology | Current | Accepting new patients |
| Mak Anesthesia Holdings LLC | Anesthesiology | Current | Accepting new patients |
| Northside Anesthesiology Consultants, LLC | Anesthesiology | Past | Accepting new patients |
Locations
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
3215 McClure Bridge Rd
Duluth, GA 30096
Phone (678) 312-6000
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
758 Old Norcross Rd
Ste 125
Lawrenceville, GA 30046
Phone (678) 985-7170
550 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-4790
2550 Windy Hill Rd SE
Ste 218
Marietta, GA 30067
Phone (770) 933-1900
895 Canton Rd NE
Bldg 200
Marietta, GA 30060
Phone (678) 784-0203
3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500
5995 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 256-1507
1100 Johnson Fy Rd NE
Ste 130
Sandy Springs, GA 30342
Phone (404) 531-9988
2306 Wisteria Dr
Ste 100
Snellville, GA 30078
Phone (770) 979-8200
2131 Fountain Dr
Snellville, GA 30078
Phone (770) 736-2225
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671148800000",
"number": "1780627604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 551420",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333551420",
"telephone_number": "800-243-3839",
"fax_number": "954-839-2569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "758 OLD NORCROSS RD STE 125",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300463387",
"telephone_number": "678-987-0820"
}
],
"practiceLocations": [
{
"address_1": "1000 Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300460000",
"country_code": "US",
"telephone_number": "770-277-3056",
"fax_number": "855-204-5244",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "550 Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300467688",
"country_code": "US",
"telephone_number": "678-312-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRAZER",
"first_name": "ANDREW",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2022-12-16",
"certification_date": "2022-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "039343",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "39343",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00708771B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000708771B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.