Svetlana Frey, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

9859 Issued in GA

Practice address

2075 Hamilton Creek Pkwy Ste 200
Dacula, GA 30019-7285

Phone

(770) 586-0300

NPI assigned

Jul 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Mercer University School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlanta Pmandr IncGroup PAC ID 3971995382, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

66.21 of 100Reported as group

Quality

43.33

Improvement activities

40

Cost

46.25

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Atlanta PM&R Inc

  • Physical Medicine & Rehabilitation Physician
  • Suwanee, GA
  • NPI 1588321970
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1841808243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 HAMILTON CREEK PKWY STE 200",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197285",
            "telephone_number": "770-586-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1790 Alder Tree Way",
            "address_purpose": "LOCATION",
            "city": "Dacula",
            "state": "GA",
            "postal_code": "300197929",
            "country_code": "US",
            "telephone_number": "404-729-9278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREY",
        "first_name": "SVETLANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "1173225",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "9859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sfrey107245@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2075 Hamilton Creek Pkwy Ste 200",
            "city": "Dacula",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300197285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mallory Foy, OTR/L
• Nicholas Roy Frady, PT
• Meridith Hope Frates, M.ED., CCC-SLP
• Amy French, OTR/L
• Fresenius Medical Care Northeast Atlanta, LLC
• Friendnfamily Care Ga LLC
• G1 Physical Therapy
• Kelly Ann Gahagan, OTR/L
• Gainesville Eye Associates LLC
• Merrissa Danyol Gallegos, NP

• Medical Physician Assistant in Dacula, GA
• Providers in Dacula, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.

Verify at the official NPI Registry.