ANN MARIE DECKER FREDERICK MD - NPI 1245685064 - Psychiatry & Neurology in Villa Rica, GA

Q: What is Ann Frederick's NPI number?

The NPI number for Ann Frederick is 1245685064. It was assigned to this individual provider in the NPPES registry on April 29, 2016. The provider is also known as Ann Marie Decker MD.

Q: What is Ann Frederick's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Ann Frederick was last updated on December 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ann Marie Decker Frederick Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANN MARIE DECKER FREDERICK MD (NPI 1245685064) is an individual child & adolescent psychiatry provider in Villa Rica, Georgia, licensed in Georgia (90877) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1245685064

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameANN MARIE DECKER FREDERICKCredential: MD

Location Address101 QUARTZ DR STE 103BVilla Rica, GA 30180-3201

Mailing Address100 Greenway Blvd Ste CCarrollton, GA 30117-4358 · (770) 812-3530

Phone(770) 812-3530

Fax(770) 812-3531

Sole ProprietorNo

Enumeration DateApril 29, 2016

Last NPPES UpdateDecember 9, 20248 updates tracked since enumeration

NPPES CertifiedDecember 9, 2024

✔ NPI 1245685064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

Licenses✔ Licensed in GA · 90877✔ Licensed in TN · 63157

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 90877 (GA), 63157 (TN)

101 QUARTZ DR STE 103B, Villa Rica, GA 30180

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Other Names 1

Former Name (1)Ann Marie Decker Md

Secondary Practice Location 1

Location 12830 Dresden DrAtlanta, GA 30341-3920 · Phone (404) 315-8333

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ann Marie Decker Frederick Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. APRIL MONIQUE MCCONICO

Counselor