1. Home
  2. Directory
  3. Georgia
  4. Villa Rica
  5. Psychiatry Neurology
  6. NPI Profile

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

Active since April 29, 2016PECOS Enrolled
101 QUARTZ DR STE 103B, VILLA RICA, GA 30180(770) 812-3530(770) 812-3531 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2024, Oct 6, 2022, Jan 26, 2022 and 5 more (8 updates tracked since 2019).

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Ann Frederick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tmc-Behavioral Health Of West Georgia
Same address
Geriatric Psychiatry
101 QUARTZ DR STE 103B
Villa Rica, GA 30180
  • Reassigned Medicare billing, Georgia enrollment
  • 73 clinicians in this Medicare group
NPI 1356795462 (770) 812-3530

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
101 QUARTZ DR STE 103B
VILLA RICA, GA 30180
Carroll County (770) 812-3530
MR. JOHN KAMAU KIARIE
Nurse Practitioner (Psychiatric/Mental Health)
101 QUARTZ DR STE 103B
VILLA RICA, GA 30180
Carroll County (770) 812-3530
JACQUELINE BROWN NP
Nurse Practitioner (Psychiatric/Mental Health)
101 QUARTZ DR STE 103B
VILLA RICA, GA 30180
Carroll County (770) 812-3530
MRS. SARAH JOANN MATHEKA PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
101 QUARTZ DR STE 103B
VILLA RICA, GA 30180
Carroll County (770) 812-3530
MRS. APRIL JILES FORTENBERRY PNP-PC
Nurse Practitioner (Psychiatric/Mental Health)
101 QUARTZ DR STE 103B
VILLA RICA, GA 30180
Carroll County (770) 812-3530
TMC-BEHAVIORAL HEALTH OF WEST GEORGIA
Psychiatry & Neurology (Geriatric Psychiatry)
101 QUARTZ DR STE 103B
VILLA RICA, GA 30180
Carroll County (770) 812-3530
SHANA HENRY PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
101 QUARTZ DR STE 103B
VILLA RICA, GA 30180
Carroll County (770) 812-3530
AREIAL K STEPHENS
Counselor
101 QUARTZ DR STE 103B
VILLA RICA, GA 30180
Carroll County (770) 812-3530

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Ann Frederick located?

Ann Frederick practices at 101 Quartz Dr Ste 103B, Villa Rica, GA 30180. The listed phone number is (770) 812-3530.

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.

Is Ann Frederick enrolled in Medicare?

Yes. Ann Frederick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ann Frederick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ann Frederick reassigns Medicare benefits to Tmc-Behavioral Health Of West Georgia (Villa Rica, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ann Frederick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ann Frederick accept?

Health plans from Alliant Health Plans, Inc. and UnitedHealthcare list Ann Frederick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ann Frederick was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.