Larry Fritchman, M.D.
Individual provider Active NPI Family Medicine Physician · Toccoa, GA
NPI 1790747541 · NPPES record last updated Feb 13, 2020
Key facts
- NPI
- 1790747541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 200100685 (NC)
- Practice address
- 115 Rock Quarry Rd
Toccoa, GA 30577-8734 - Phone
- (706) 282-5815
- Fax
- (706) 898-5716
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061009000036 | GA | Practitioner - Family Practice | 1951307388 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200100685 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephens County Hospital Physician Group LLC | Current |
Accepting new patients | |
| Stephens County Hospital Physician Group, LLC | Current |
Accepting new patients | |
| Roanoke Valley Health Services Inc | Family Medicine | Past | Accepting new patients |
| Roanoke Valley Health Services Inc | Past | Accepting new patients |
Locations
163 Hospital Dr
Toccoa, GA 30577
Phone (706) 282-4200
218 Falls Rd
Toccoa, GA 30577
Phone (706) 282-5840
115 Rock Quarry Rd
Toccoa, GA 30577
Phone (706) 282-5815
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 200100685 | NC | Yes |
Addresses
Primary practice location
115 Rock Quarry Rd
Toccoa, GA 30577-8734
Mailing address
163 Hospital Dr
Toccoa, GA 30577-6820
Phone (706) 282-4200
Other practice location 1
1385 Medical Center Dr
Roanoke Rapids, NC 27870-5130
Phone (252) 537-9176
Other practice location 2
218 Falls Rd
Toccoa, GA 30577-1631
Phone (706) 282-5840
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89129RU | Medicaid | NC |
Other providers in Toccoa, GA
- Family Eye Care of Toccoa
- Louis R Fernandez
- Flexx Sports & Rehab Physical Therapy Inc
- Darah Flores-Nieves
- Samuel Joseph Freeman
- Victoria Fuller
- Natasha Garritson
- Stephen Garst
- Jennifer Adams Gastley
- Georgia CVS Pharmacy LLC
All providers in Toccoa, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.