Fraiche Wellness

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FRAICHE WELLNESS

Practice address

59 Cedar PT
Dallas, GA 30132-1096

Phone

(404) 578-1204

NPI assigned

Jan 19, 2024

Organization subpart

No

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

Authorized official

Name

Shelley Anderson, PANPI 1487195145

Title

Ceo

Phone

(678) 823-5699

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shelley Anderson, PA-C

  • Physician Assistant
  • Conyers, GA
  • NPI 1487195145
  NPD Authorized official

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1851152458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 CEDAR PT",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301321096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 CEDAR PT",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301321096",
            "telephone_number": "404-578-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRAICHE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-823-5699",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savanna Jean Floyd, DOULA, CBE
• Foothills Counseling Associates Inc.
• Cynthia Ling Foster
• Kara Lynn Foster, MS, OTR/L
• Michele Miller Fouad, PHARM D.
• Jessica Lyn Francis, LCSW
• Shirley W. Francois, LPC
• Haley Franklin
• Karen F Frazier
• Lawrence Frazier

• Clinic/Center in Dallas, GA
• Providers in Dallas, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.