CARLIE ANN FREDERICK (APRN) – Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1497984603
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,744 NURSE PRACTITIONER in GA
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Provider Addresses for CARLIE ANN FREDERICK (APRN)
2300 MANCHESTER EXPY STE 2001A
COLUMBUS, GA 319046802
Phone: (706) 320-3126
Fax: (706) 320-3054
Type: Mailing
2000, 16th Avenue, East Highlands, Columbus, Muscogee County, Georgia, 31901, United States
COLUMBUS, GA 319011665
Phone: (706) 320-3700
Type: Location
6026, Chrisbin Drive, Sunshine Acres, Columbus, Muscogee County, Georgia, 31909, United States
COLUMBUS, GA 319093738
Phone: (706) 593-7701
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 63 Open Payments records for all available years, with a total value of $1,219.
Total Amount is formed as General ($1,219) + Research ($0) + Ownership ($0) = $1,219.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($256).
Total Amount
$1,219
General + Research + Ownership
Payments
63
Total payment records
General Amount
$1,219
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $256 |
| Janssen Pharmaceuticals, Inc | $201 |
| Otsuka America Pharmaceutical, Inc. | $151 |
| Teva Pharmaceuticals USA, Inc. | $98 |
| Corium, LLC | $87 |
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: 2013-09-12
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130912000083 | I | Nurse Practitioner | GA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31904)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | GA | |
| - | WI | |
| Physician Assistant | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| N E U R O L O G Y | GA | |
| - | GA | |
| P S Y C H I A T R Y | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | GA | |
| Neurology, Psychiatry | GA |
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