Individual provider Active NPI

Alyssa Frey, MSN, APRN, FNP-C

  • Primary Care Nurse Practitioner
  • Carrollton, GA
National Provider Identifier
1801356027
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN249615 Issued in GA
Practice address
100 Professional PL Ste 202
Carrollton, GA 30117-3802
Phone
(770) 832-6861
NPI assigned
Mar 22, 2019
Last updated
May 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN249615 GA Primary
Primary Care Nurse Practitioner 363LP2300X AP141487 TX

Addresses

Primary practice location

100 Professional PL Ste 202
Carrollton, GA 30117-3802

Mailing address

9280 Sr-5 N Unit a
Douglasville, GA 30134
Phone (707) 949-2250

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210521000651 GA Practitioner - Nurse Practitioner 7911232236 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN249615GAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
3:16 Urgent Care LLC CurrentSince Jan 14, 2026 Accepting new patients
Professional Park Medical Services, P.C. CurrentSince Apr 6, 2021 Accepting new patients
316 Family Medicine CurrentSince Apr 29, 2024 Accepting new patients

Locations

1009 Alabama Ave S
Bremen, GA 30110
Phone (678) 821-1660

222 Gordon St
Bremen, GA 30110
Phone (770) 537-1234

100 Professional Pl
Ste 202
Carrollton, GA 30117
Phone (770) 832-6861

527 Tanner St
Carrollton, GA 30117
Phone (678) 390-6575

820 Maple St
Carrollton, GA 30117
Phone (678) 390-7900

Interoperability endpoints

  • Direct secure messaging: alyssa.frey.1@22071.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22071/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1801356027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9280 SR-5 N UNIT A",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30134",
            "telephone_number": "707-949-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PROFESSIONAL PL STE 202",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173802",
            "telephone_number": "770-832-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "ALYSSA",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN249615",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP141487",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.