| Mr George Fredericks Iv, FNP-C | |
|
1913 Highway 394, Blountville, TN 37617-5349 | |
| (423) 662-7002 | |
| (423) 662-7003 |
| Full Name | Mr George Fredericks Iv |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1913 Highway 394, Blountville, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629798384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 0000192577 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 32503 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Johnson City Medical Center | Johnson city, TN | Hospital |
| Franklin Woods Community Hospital | Johnson city, TN | Hospital |
| Sycamore Shoals Hospital | Elizabethton, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Karing Hearts Cardiology Pc | 9436567252 | 13 |
| Entity Name | Karing Hearts Cardiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841895935 PECOS PAC ID: 9436567252 Enrollment ID: O20210415002935 |
| Entity Name | Karing Hearts Cardiology Heart And Vascular Center |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1255113700 PECOS PAC ID: 8628503133 Enrollment ID: O20241120004094 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr George Fredericks Iv, FNP-C 1913 Highway 394, Blountville, TN 37617-5349 Ph: (423) 662-7002 | Mr George Fredericks Iv, FNP-C 1913 Highway 394, Blountville, TN 37617-5349 Ph: (423) 662-7002 |
Mrs. Kristina Ann Roark, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1913 Highway 394, Blountville, TN 37617 Phone: 423-662-7002 Fax: 423-662-7003 | |
Ashley Brooke Booher, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1913 Highway 394 Ste 2, Blountville, TN 37617 Phone: 423-662-6002 | |
Cori Baker, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1913 Highway 394, Blountville, TN 37617 Phone: 423-662-7002 Fax: 423-662-7003 | |
Ms. Jennifer Jane Williams, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 154 Blountville Bypass, Blountville, TN 37617 Phone: 423-279-2638 Fax: 423-279-2727 | |
Leslie Sullins, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1913 Highway 394, Blountville, TN 37617 Phone: 423-662-7002 |