Tata-Nisha Frazier, CPS-MD, AD

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

504 Fair St SW
Atlanta, GA 30313-1206

Phone

(470) 896-6046

NPI assigned

Jun 12, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1962186759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4037 BROWNE CT",
            "city": "CONLEY",
            "state": "GA",
            "postal_code": "302886811",
            "telephone_number": "404-263-2478",
            "fax_number": "404-973-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 FAIR ST SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303131206",
            "telephone_number": "470-896-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "TATA-NISHA",
        "credential": "CPS-MD, AD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Frazier, LMSW
• Latasha Frazier
• Mekalah Frazier
• Michael A. Frazier, LPC
• Sydney Frazier
• Treshonda Frazier
• Melissa Freas, MA, LAPC
• Henry David Frechter, M.D.
• Stephanie Fredenberg, LPC
• Jhonsley Frederic

• Peer Specialist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Peer Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.