Active NPI
Andre' Dean Frederick, M.D.
- Hospitalist Physician
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 2007-00641
- Practice address
- 2100 Stantonsburg Rd
PPS Hospitalists, GLC RM 252-a
Greenville, NC 27834-2818 - Phone
- (252) 847-3898
- NPI assigned
- Jul 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 2007-00641 | NC | Primary |
| Internal Medicine Physician | 207R00000X | 2007-00641 | NC |
Addresses
Primary practice location
2100 Stantonsburg Rd
PPS Hospitalists, GLC RM 252-a
Greenville, NC 27834-2818
Mailing address
2100 Stantonsburg Rd
PPS Hospitalists, GLC RM 252-a
Greenville, NC 27834-2818
Phone (252) 847-3898
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080725000657 | NC | Practitioner - Internal Medicine | 2264505080 | Reassigns benefits to 9 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Brody School of Medicine at East Carolina University, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Usacs Integrated Acute Care Services of North Carolina, PLLCVidant Medical Group LLCEast Carolina University
Practice addresses (Care Compare)
1144 N Rd St
Elizabeth City, NC 27909-3473
Phone (852) 335-0531
2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 633-8108
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-1757
401 A N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941
401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941
417 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-8080
521 B Moye Blvd
2ND FL
Greenville, NC 27834-2849
Phone (252) 744-3229
Hospital & facility affiliations
- Ecu Health Medical Center
- Carolina East Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of North Carolina, PC | Internal Medicine | Current | Accepting new patients |
| Carteret County General Hospital Corporation | Current | Accepting new patients | |
| Unc Physicians Network LLC | Current | Accepting new patients | |
| Carolinaeast Physicians | Hospitalist | Current | Accepting new patients |
| Carolinaeast Physicians | Current | Accepting new patients | |
| East Carolina University | Current | Accepting new patients | |
| East Carolina University | Internal Medicine | Current | Accepting new patients |
| Usacs Integrated Acute Care Services of North Carolina, PLLC | Internal Medicine | Current | Accepting new patients |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Carolinaeast Physicians | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of North Carolina PLLC | Internal Medicine | Current | Accepting new patients |
| Sound Physicians of North Carolina, PLLC | Internal Medicine | Current | Accepting new patients |
| Unc Physicians Network LLC | Internal Medicine | Current | Accepting new patients |
| Comprehensive Hospitalist Services of North Carolina LLC | Hospitalist | Past | Accepting new patients |
| East Carolina University | Internal Medicine | Past | Accepting new patients |
| Lenoir HM Services LLC | Hospitalist | Past | Accepting new patients |
Locations
500 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3000
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123
1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610
2100 Stantonsburg Rd
Rm 252A
Greenville, NC 27834
Phone (252) 847-3898
600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111
521 Moye Blvd
Fl 2
Greenville, NC 27834
Phone (252) 744-3229
532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
100 Airport Rd
Kinston, NC 28501
Phone (252) 522-7000
3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000
2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104
2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199
Interoperability endpoints
- afrederick21778@carolinaeastmc.direct-ci.com
- afrederick128323@direct.unc.nchie.net
Organizations & group practices 19
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.
-
- Internal Medicine Physician
- Elizabeth City, NC
- NPI 1437869302
Internal Medicine, NC
-
- Cardiovascular Disease Physician
- New Bern, NC
- NPI 1104066794
Internal Medicine, NC
-
- General Acute Care Hospital
- Morehead City, NC
- NPI 1760479331
NC
-
- Internal Medicine Physician
- Rocky Mount, NC
- NPI 1548207483
Internal Medicine, NC
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1164724902
Internal Medicine, NC
-
- Hospitalist Physician
- Elizabeth City, NC
- NPI 1346661493
Internal Medicine, NC
-
- Internal Medicine Physician
- Greenville, NC
- NPI 1043260474
Internal Medicine
-
- Ambulatory Surgical Clinic/Center
- Kinston, NC
- NPI 1376049619
-
- Diagnostic Radiology Physician
- Greenville, NC
- NPI 1780367318
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, NC
- NPI 1780359687
Hospital
-
- General Acute Care Hospital
- Greenville, NC
- NPI 1043218944
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384905600000",
"number": "1932308384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 STANTONSBURG RD",
"address_2": "PPS HOSPITALISTS, GLC RM 252-A",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278342818",
"telephone_number": "252-847-3898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 STANTONSBURG RD",
"address_2": "PPS HOSPITALISTS, GLC RM 252-A",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278342818",
"telephone_number": "252-847-3898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDERICK",
"first_name": "ANDRE'",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-16",
"last_updated": "2013-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "2007-00641",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2007-00641",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.