EDWARD DENT FREDERICKSON (MD) – Internal Medicine Physician, NPI 1386710085

EDWARD DENT FREDERICKSON (MD) is a healthcare provider. based in Clayton, Georgia. specializing in INTERNAL MEDICINE, NEUROLOGY. They hold the professional credentials MD. They hold a License No. 032384 (GA). The NPI Number for EDWARD DENT FREDERICKSON (MD) is 1386710085

Main info

Male
Sole Proprietor
50 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD DENT FREDERICKSON (MD)
NPI
1386710085
Phone
(706) 212-0390
Address
156 N MAIN ST
Enumeration Date
27 November 2006
Last Update Date
29 July 2019

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7062120390
Graduation Year
1976 (50 years ago)
PAC ID
9830136100
Professional Enrollment ID
I20120203000433
Address ID
GA305254266CL156XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,409 INTERNAL MEDICINE in GA

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Provider Addresses for EDWARD DENT FREDERICKSON (MD)

  • 156, North Main Street, Elkader, Clayton County, Iowa, 52043, United States

    CLAYTON, GA 305254266

    Phone: (706) 212-0390

    Fax: (706) 960-9209

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $202.

Total Amount is formed as General ($202) + Research ($0) + Ownership ($0) = $202.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: PFIZER INC. ($55).

Total Amount

$202

General + Research + Ownership

Payments

11

Total payment records

General Amount

$202

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120203000433IInternal MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1,557422$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,029128$0
J1100Injection, dexamethasone sodium phosphate, 1 mg686128$0
99458Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes49272$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes34576$0
View full utilization report →

Insurance plans in this area (ZIP 30525)

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Provider's Procedures

EDWARD DENT FREDERICKSON (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYGA81002Urinalysis, manual test2319
NEPHROLOGYGA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1211

Reviews

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Frequently asked questions

Is EDWARD DENT FREDERICKSON (MD) listed with a National Provider Identifier?
Yes — EDWARD DENT FREDERICKSON (MD) has NPI 1386710085 on file in the registry.
Active or inactive — what applies to EDWARD DENT FREDERICKSON (MD)?
You should see EDWARD DENT FREDERICKSON (MD) as active in CMS-hosted NPPES data.
How would a patient describe EDWARD DENT FREDERICKSON (MD)'s focus?
For EDWARD DENT FREDERICKSON (MD), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with EDWARD DENT FREDERICKSON (MD)?
Directory geography for EDWARD DENT FREDERICKSON (MD) centers on Clayton, Georgia.
Can I trust this NPI listing for EDWARD DENT FREDERICKSON (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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