Active NPI
Timika Lashaun Frazier, D.C.
- Chiropractor
- Marietta, GA
National Provider Identifier
1972851152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1344
- Practice address
- 1712 Penny LN SE
Marietta, GA 30067-4434 - Phone
- (601) 291-2597
- NPI assigned
- Aug 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1344 | MS | Primary |
Addresses
Primary practice location
1712 Penny LN SE
Marietta, GA 30067-4434
Mailing address
4377 Redwood Cir
Jackson, MS 39212-3636
Phone (601) 291-2597
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11322 US Hwy 31
Daphne, AL 36527-5897
Phone (251) 626-8242
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayside Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Align Chiropractic PC | Current | Accepting new patients | |
| Stonestar Health LLC | Current | Accepting new patients |
Locations
131 Market Pl
Montgomery, AL 36117
Phone (334) 239-7641
11322 US Highway 31
Spanish Fort, AL 36527
Phone (251) 626-8242
202 Walnut Dr
Ocean Springs, MS 39564
Phone (228) 447-3200
Organizations & group practices 3
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.
-
- Rehabilitation Chiropractor
- Ocean Springs, MS
- NPI 1649893892
-
- Clinic/Center
- Montgomery, AL
- NPI 1669175600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1972851152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4377 REDWOOD CIR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392123636",
"telephone_number": "601-291-2597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1712 PENNY LN SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300674434",
"telephone_number": "601-291-2597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "TIMIKA",
"middle_name": "LASHAUN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-20",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MS",
"license": "1344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.