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MR. GEORGE FREDERICKS IV FNP-C
NPI 1629798384
Nurse Practitioner - Family in Blountville, TN

Active since August 31, 2022PECOS EnrolledAccepts Medicare Assignment
1913 HIGHWAY 394, BLOUNTVILLE, TN 37617(423) 662-7002(423) 662-7003 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2022, Aug 31, 2022 (2 updates tracked since 2022).

About Mr. George Fredericks Iv Fnp-c NPPES

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

MR. GEORGE FREDERICKS IV FNP-C (NPI 1629798384) is an individual family provider in Blountville, Tennessee, licensed in Tennessee (32503) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with Sycamore Shoals Hospital, and maintains a secondary practice location in Elizabethton.

NPPES Registry Identity

NPI1629798384
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. GEORGE FREDERICKS IVCredential: FNP-C
Location Address1913 HIGHWAY 394Blountville, TN 37617-5349
Mailing Address1913 Highway 394Blountville, TN 37617-5349 · (423) 662-7002 · Fax (423) 662-7003
Phone(423) 662-7002
Fax(423) 662-7003
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 31, 2022
Last NPPES UpdateDecember 12, 20222 updates tracked since enumeration
NPPES CertifiedDecember 12, 2022
✔ NPI 1629798384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 32503
Also ListedRegistered NurseTaxonomy 163W00000X · License 0000192577 (TN)
1913 HIGHWAY 394, Blountville, TN 37617
Open in Google Maps ↗

Secondary Practice Location 1

Location 1132 Treadway StElizabethton, TN 37643-7642 · Phone (423) 440-3095

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, 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 and accepts Medicare assignment

Mr. George Fredericks Iv Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931579679
PECOS Enrollment IDI20221221001856
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
171 services150 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
64 services62 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
47 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
14 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sycamore Shoals Hospital

Acute Care Hospitals · Elizabethton, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440018
Location1501 West Elk AvenueElizabethton, TN 37643 · Carter County
Emergency services

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Franklin Woods Community Hospital

Acute Care Hospitals · Johnson City, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440184
Location300 Med Tech ParkwayJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37617 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

MRS. KRISTINA ANN ROARK NP-C
Nurse Practitioner (Family)
1913 HIGHWAY 394
BLOUNTVILLE, TN 37617
Sullivan County (423) 662-7002
CORI BAKER NP
Nurse Practitioner (Family)
1913 HIGHWAY 394
BLOUNTVILLE, TN 37617
Sullivan County (423) 662-7002

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 George Fredericks's NPI number?

The NPI number for George Fredericks is 1629798384. It was assigned to this individual provider in the NPPES registry on August 31, 2022.

Where is George Fredericks located?

George Fredericks practices at 1913 Highway 394, Blountville, TN 37617. The listed phone number is (423) 662-7002.

What is George Fredericks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is George Fredericks enrolled in Medicare?

Yes. George Fredericks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does George Fredericks accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list George Fredericks 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.

Is George Fredericks affiliated with any hospitals?

According to CMS data, George Fredericks is affiliated with Sycamore Shoals Hospital, Johnson City Medical Center and Franklin Woods Community Hospital.

When was this NPI record last updated?

The NPPES record for George Fredericks was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.