MR. GEORGE IV FREDERICKS (FNP-C) – Family Nurse Practitioner, NPI 1629798384
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,664 NURSE PRACTITIONER in TN
Provider Addresses for MR. GEORGE IV FREDERICKS (FNP-C)
132 Treadway St
Elizabethton, TN 376437642
Phone: (423) 440-3095
Type: Location
132 TREADWAY ST
ELIZABETHTON, TN 376437642
Phone: (423) 440-3095
Type: Mailing
1913 HIGHWAY 394
BLOUNTVILLE, TN 376175349
Phone: (423) 662-7002
Fax: (423) 662-7003
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $48.
Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.
Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($33).
Total Amount
$48
General + Research + Ownership
Payments
4
Total payment records
General Amount
$48
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-12-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221221001856 | I | Nurse Practitioner | TN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96127 | Assessment of emotional or behavioral problems | 109 | 56 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 51 | 23 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 51 | 51 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 34 | 31 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 24 | 23 | $0 |
Insurance plans in this area (ZIP 37643)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | TN | |
| Cardiovascular Disease (Cardiology) | TN | |
| Nurse Practitioner | TN | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | TN | |
| Cardiovascular Disease (Cardiology) | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | PA | |
| Nurse Practitioner | TN | |
| Cardiovascular Disease (Cardiology) | TN |
Reviews
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