Individual provider Active NPI

Genia Sword Fraser, D.C.

  • Chiropractor
  • Jonesboro, GA
National Provider Identifier
1891868949
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO06745 Issued in GA
Practice address
9434 S Main St
Suite 1100
Jonesboro, GA 30236-8711
Phone
(770) 478-1300
Fax
(770) 478-9385
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO06745 GA Primary

Addresses

Primary practice location

9434 S Main St
Suite 1100
Jonesboro, GA 30236-8711

Mailing address

9434 S Main St
Suite 1100
Jonesboro, GA 30236-8711
Phone (770) 478-1300

Other names 1

  • Mrs. Genia Fraser Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060307000493 GA Practitioner - Chiropractic 3870509409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Wellness Center LLCGroup PAC ID 8527314780, 4 clinicians

Practice addresses (Care Compare)

9434 S Main St
Suite 1100
Jonesboro, GA 30236-6092
Phone (770) 478-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO06745GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Wellness Center, LLC. Chiropractor CurrentSince Jan 9, 2018 Accepting new patients

Locations

9434 S Main St
Ste 1100
Jonesboro, GA 30236
Phone (770) 478-1300

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891868949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9434 S MAIN ST",
            "address_2": "SUITE 1100",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302368711",
            "telephone_number": "770-478-1300",
            "fax_number": "770-478-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9434 S MAIN ST",
            "address_2": "SUITE 1100",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302368711",
            "telephone_number": "770-478-1300",
            "fax_number": "770-478-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWORD FRASER",
        "first_name": "GENIA",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO06745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENIA",
            "last_name": "FRASER",
            "prefix": "MRS.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.