Individual provider Active NPI

Hawwa Sharif Frazier, DO

  • Family Medicine Physician
  • Bethlehem, GA
National Provider Identifier
1881889277
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
89615 Issued in GA
Practice address
340 Exchange Blvd Ste 120
Bethlehem, GA 30620-1759
Phone
(678) 963-7300
NPI assigned
Sep 10, 2007
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB09310600 NJ
Family Medicine Physician 207Q00000X 89615 GA Primary

Addresses

Primary practice location

340 Exchange Blvd Ste 120
Bethlehem, GA 30620-1759

Mailing address

140 Whitehead Ave
Sayreville, NJ 08872-1187
Phone (732) 638-4688

Other practice location 1

2 Hospital Plz
Suite 470
Old Bridge, NJ 08857-3012
Phone (732) 638-4688

Other identifiers 2

IdentifierTypeStateIssuer
1881889277MedicaidNJ
316822OtherNJPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130813000174 NJ Practitioner - Family Practice 7810154135 Reassigns benefits to 1 organization
I20221209002502 GA Practitioner - Family Practice 7810154135 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rowan University School of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians
Piedmont Athens Primary Care LLCGroup PAC ID 0648520841, 80 clinicians

Practice addresses (Care Compare)

1825 Hwy 34 E
Suite 1200
Newnan, GA 30265-6416
Phone (770) 502-2121

1825 Hwy 34 E 1200
Newnan, GA 30265-6416

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

340 Exchange Blvd
Bethlehem, GA 30620-1759
Phone (706) 413-4500

721 N Beers St
Suite 2B
Holmdel, NJ 07733-1500
Phone (732) 638-4688

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
89615GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Nov 16, 2023 Accepting new patients
Piedmont Athens Primary Care LLC Family Medicine CurrentSince Jul 25, 2022 Accepting new patients
Head to Heart Family Medicine, LLC Family Medicine CurrentSince Aug 3, 2025 Accepting new patients
MBS Trinity Health, LLC Family Medicine CurrentSince Sep 1, 2013 Accepting new patients
Piedmont Medical Care Corporation Family Medicine CurrentSince Oct 19, 2022 Accepting new patients
Garden State Primary Care, LLC Family Medicine Past Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

340 Exchange Blvd
Bethlehem, GA 30620
Phone (678) 963-7171

340 Exchange Blvd
#120
Bethlehem, GA 30620
Phone (678) 963-7300

721 N Beers St
Ste 2B
Holmdel, NJ 07733
Phone (732) 335-0335

2 Hospital Plz
Ste 470
Old Bridge, NJ 08857
Phone (732) 638-4688

1145 Bordentown Ave
Ste 1
Parlin, NJ 08859
Phone (732) 638-4688

Interoperability endpoints

  • Direct secure messaging: hawwa.frazier.1@19348.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19348/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1881889277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 WHITEHEAD AVE",
            "city": "SAYREVILLE",
            "state": "NJ",
            "postal_code": "088721187",
            "telephone_number": "732-638-4688",
            "fax_number": "732-360-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 EXCHANGE BLVD STE 120",
            "city": "BETHLEHEM",
            "state": "GA",
            "postal_code": "306201759",
            "telephone_number": "678-963-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Hospital Plz",
            "address_2": "Suite 470",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "088573012",
            "country_code": "US",
            "telephone_number": "732-638-4688",
            "fax_number": "732-360-5081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "HAWWA",
        "middle_name": "SHARIF",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB09310600",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "89615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881889277",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "316822",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, GA

Sources for this page

Verify at the official NPI Registry.