Individual provider Active NPI

Rochell V Jackson-Frazier, REGISTERED NURSE

  • Home Health Agency
  • Lithonia, GA
National Provider Identifier
1841093770
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
6758 Browns Mill Lake Rd
Lithonia, GA 30038-4537
Phone
(470) 504-7611
Fax
(404) 947-9432
NPI assigned
Mar 27, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 08795 GA
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6758 Browns Mill Lake Rd
Lithonia, GA 30038-4537

Mailing address

6758 Browns Mill Lake Rd
Lithonia, GA 30038-4537
Phone (470) 504-7611

Other names 1

  • Rochell V Jackson-Frazier Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
08795GAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1841093770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6758 BROWNS MILL LAKE RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300384537",
            "telephone_number": "470-504-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6758 BROWNS MILL LAKE RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300384537",
            "telephone_number": "470-504-7611",
            "fax_number": "404-947-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-FRAZIER",
        "first_name": "ROCHELL",
        "middle_name": "V",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "08795",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROCHELL",
            "last_name": "JACKSON-FRAZIER",
            "middle_name": "V",
            "credential": "REGISTERED NURSE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.