RICHARD FRADY (NPI# 1770903486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770903486 |
| Entity Type | Individual |
| Full Name | RICHARD FRADY |
| Credential | NP |
| Practice Address |
960 Johnson Ferry Rd Ste. 500 Atlanta GA 30342-1631 |
| Practice Telephone | 4042570006 |
| Practice Fax Number | 4048511316 |
| Mailing Telephone | 4042570006 |
| Mailing Fax Number | 4048511316 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2017-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
RN137434 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
960 JOHNSON FERRY RD STE. 500 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912988445 | Paul Dennison Boyce | Specialist | 960 Johnson Ferry Rd, Suite 500, Atlanta, GA 30342-1631 | 2005-11-10 |
| 1134661713 | Stephanie Anne Vickers | Nurse Practitioner | 960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631 | 2016-11-14 |
| 1104368117 | Mindy Amber Garcia | Nurse Practitioner | 960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631 | 2016-11-08 |
| 1336502624 | Marita King | Physician Assistant | 960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631 | 2016-04-04 |
| 1487035507 | Mary Rachel Cramer | Physician Assistant | 960 Johnson Ferry Rd, Suite 130, Atlanta, GA 30342-1631 | 2015-06-15 |
| 1871984971 | Julie Allers | Nurse Practitioner | 960 Johnson Ferry Rd, Ste 100, Atlanta, GA 30342-1631 | 2015-02-10 |
| 1346630613 | Johnathon Steven Nolen | Physician Assistant | 960 Johnson Ferry Rd, Suite 100, Atlanta, GA 30342-1631 | 2015-01-26 |
| 1588093157 | Kelly Graham | Physician Assistant | 960 Johnson Ferry Rd, Ste 100, Atlanta, GA 30342-1631 | 2013-11-05 |
| 1760810857 | Michael Grossman | Nurse Practitioner | 960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631 | 2013-10-29 |
| 1013357029 | Melissa Mccarthy | Nurse Practitioner | 960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631 | 2013-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887118 | Christie Sams | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-09-28 |
| 1275164436 | Jordan Tyler Hill | Nurse Practitioner | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-01-27 |
| 1033750781 | Yhaneek N Douglas-mattis | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2019-10-03 |
| 1174176382 | Acenith Garvey | Nurse Practitioner | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2019-07-17 |
| 1629538509 | Chika Ngozi Ezenekwe | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2019-03-25 |
| 1891277612 | Jerian Forbes | Nurse Practitioner | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2018-08-29 |
| 1093208878 | Chelsea Belle Miller | Nurse Practitioner | 550 Peachtree St Ne Bldg 3245a, Atlanta, GA 30308-2247 | 2018-06-07 |
| 1497295083 | Kristina Harpe | Nurse Practitioner | 550 Peachtree St Ne, Davis Fischer Building, Office 3245a, Atlanta, GA 30308-2212 | 2017-03-01 |
| 1972964567 | Paula Nail Lay | Nurse Practitioner | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2016-03-10 |
| 1700256575 | Alison Michelle Kelley | Nurse Practitioner | 550 Peachtree St Ne, Davis Fischer Building, Atlanta, GA 30308-2208 | 2015-10-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.