Individual provider Active NPI

Sandra Adamson Fryhofer, MD

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1922065226
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26430 Issued in GA
Practice address
3290 Northside Pkwy NW Ste 840
Atlanta, GA 30327-2211
Phone
(404) 816-8660
Fax
(404) 816-8657
NPI assigned
Apr 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 26430 GA Primary

Addresses

Primary practice location

3290 Northside Pkwy NW Ste 840
Atlanta, GA 30327-2211

Mailing address

3290 Northside Pkwy NW Ste 840
Atlanta, GA 30327-2211
Phone (404) 816-8660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2013 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1922065226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 NORTHSIDE PKWY NW STE 840",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272211",
            "telephone_number": "404-816-8660",
            "fax_number": "404-816-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 NORTHSIDE PKWY NW STE 840",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272211",
            "telephone_number": "404-816-8660",
            "fax_number": "404-816-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYHOFER",
        "first_name": "SANDRA",
        "middle_name": "ADAMSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "26430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.