JASON STANLEY FREDERICK (M.D.) – Family Medicine Physician, NPI 1699115485

JASON STANLEY FREDERICK (M.D.) is a healthcare provider. based in Columbus, Georgia. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D.. They hold a License No. ME164903 (FL). The NPI Number for JASON STANLEY FREDERICK (M.D.) is 1699115485

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
JASON STANLEY FREDERICK (M.D.)
NPI
1699115485
Phone
(706) 571-1430
Address
1900 10TH AVE
Enumeration Date
26 June 2013
Last Update Date
25 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2016546397
Graduation Year
2013 (13 years ago)
PAC ID
4981830213
Group Practice PAC ID
4284952615
Professional Enrollment ID
I20230927003238
Address ID
FL329055437PA1515XNEXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:12State licenses:1Digital endpointsOther names

314 PHYSICAL MEDICINE AND REHABILITATION in GA

Provider Addresses for JASON STANLEY FREDERICK (M.D.)

  • 1900 10TH AVE

    SUITE 100

    COLUMBUS, GA 319013600

    Phone: (706) 571-1430

    Fax: (706) 571-1604

    Type: Mailing

  • 1800 10TH AVE

    COLUMBUS, GA 319011513

    Phone: (706) 571-1120

    Fax: (706) 571-1603

    Type: Location

  • 3001 PALM COAST PKWY SE

    PALM COAST, FL 321378209

    Phone: (872) 231-3162

    Type: Location

  • 1800 10th Ave

    Columbus, GA 319011513

    Phone: (706) 571-1120

    Fax: (706) 571-1603

    Type: Location

  • PO BOX 22239

    SUITE 100

    NEW YORK, NY 100870001

    Phone: (702) 899-0595

    Fax: (702) 977-1496

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-09-27

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230927003238IPhysical Medicine And RehabilitationFLTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes67193$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes270252$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes10794$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8138$0
95874Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle4124$0
View full utilization report →

Insurance plans in this area (ZIP 31901)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284952615View full group profile
NameSpecialtyState
-CT
-NY
Physical Medicine And RehabilitationWA
-OH
Pain Management, Hand Surgery, Interventional Pain Management, Orthopedic Surgery, Physical Medicine And RehabilitationNY
Physician AssistantTX
-DC
Physical Medicine And RehabilitationMA
Physical Medicine And Rehabilitation, Pain Management, Pain ManagementNY
Physical Medicine And Rehabilitation, Pain ManagementMD

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for JASON STANLEY FREDERICK (M.D.)?
Save NPI 1699115485 if you need a stable reference for JASON STANLEY FREDERICK (M.D.).
Is JASON STANLEY FREDERICK (M.D.)'s NPI currently valid?
The extract we use shows JASON STANLEY FREDERICK (M.D.) as active.
What kind of provider is JASON STANLEY FREDERICK (M.D.)?
The page reflects Family Medicine Physician for JASON STANLEY FREDERICK (M.D.). Clinical services aligned with this taxonomy classification.
Does JASON STANLEY FREDERICK (M.D.) practice in Georgia?
You will see Columbus, Georgia on file for JASON STANLEY FREDERICK (M.D.) alongside any extra practice locations.
Is JASON STANLEY FREDERICK (M.D.) a real provider?
This page reflects official NPPES data for NPI 1699115485. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

22385 FLORA PARKE XING
NPI: 1598768145

SHAHIN ETEBAR (MD)

Neurological Surgery Physician
PO BOX 1299
NPI: 1194721308
239 W HWY 190
NPI: 1194722876

DR. ROBERT G PALERINO (MD)

Family Medicine Physician
7141, Moon Road, Timberdale, Columbus, Muscogee County, Georgia, 31909, United States
NPI: 1194724245

DR. RAQUEL MARIA WATSON (M.D.)

Family Medicine Physician
142 WATERS EDGE DR
NPI: 1215936323
Columbus Post Office, 5th Street, Columbus, Bartholomew County, Indiana, 47201, United States
NPI: 1497754592

HORIZONS DIAGNOSTICS, L.L.C.

Family Medicine Physician
106, Enterprise Court, Fox Chapel, Columbus, Muscogee County, Georgia, 31904, United States
NPI: 1366443368

CHRISTOPHER T WOMMACK (MD)

Family Medicine Physician
106, Enterprise Court, Fox Chapel, Columbus, Muscogee County, Georgia, 31904, United States
NPI: 1962403808

HENRY BANKS CARROLL (MD)

Family Medicine Physician
106, Enterprise Court, Fox Chapel, Columbus, Muscogee County, Georgia, 31904, United States
NPI: 1336140334