Active NPI 1386710085 Individual Practitioner Male Practitioner

Dr. Edward Dent Frederickson , MD

Internal Medicine • Clayton, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Edward Frederickson, MD is a certified Internal Medicine practicing in Clayton, GA. With approximately 50 years of clinical experience since graduating from Emory University School Of Medicine in 1976, Dr. Frederickson delivers high-quality medical care to the local community at 156 N MAIN ST.

Dr. Frederickson accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver;, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

156 N Main St

Clayton, GA 305254266

Telephone 7062120390

Fax 7069609209

Associated Practice Facility / Clinic

🏢 Beck's Healthcare, Llc Facility NPI 1801859020

Medicare Profile & Education

Medical School

Emory University School Of Medicine

Graduation Year

1976

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Clayton, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

50 Yrs +12.0 yrs vs City Avg

City Avg: 38.0 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Clayton, GA (4065 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Frederickson (50 Years) 50 Yrs

Clayton Specialty Average (38.0 Years) 38.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,046	364	$225.00	$125.48
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	715	62	$82.13	$38.57
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	544	116	$10.00	$1.00
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	518	68	$80.00	$47.38
J1100 Injection, dexamethasone sodium phosphate, 1 mg	394	115	$5.00	$0.12
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	354	52	$138.00	$43.15
99213 Established patient office or other outpatient visit, typically 15 minutes	344	209	$135.00	$88.42
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	300	165	$60.00	$21.98
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	200	121	$25.00	$13.80
93000 Routine ekg using at least 12 leads including interpretation and report	88	77	$75.00	$13.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	46	46	$250.00	$128.73
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	40	17	$15.00	$1.26
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	34	32	$25.00	$23.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$300.00	$163.55
J0696 Injection, ceftriaxone sodium, per 250 mg	30	21	$15.00	$0.45
87804 Detection test by immunoassay with direct visual observation for influenza virus	30	29	$25.00	$15.68
99423 Online digital evaluation and management service for an established patient for up to 7 days, total time 21 or more minutes	25	23	$175.00	$46.44
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	21	21	$25.00	$15.43
81002 Urinalysis, manual test	19	16	$25.00	$3.41
69210 Removal of impacted ear wax	15	15	$75.00	$46.78
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	14	14	$42.00	$18.12
95800 Sleep study including heart rate, breathing, and sleep time	13	13	$645.00	$127.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,557	422	$225.00	$120.65
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,029	128	$10.00	$1.07
J1100 Injection, dexamethasone sodium phosphate, 1 mg	686	128	$5.00	$0.12
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	492	72	$80.00	$37.37
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	345	76	$80.00	$45.39
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	288	155	$60.00	$21.20
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	234	63	$138.00	$44.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	204	139	$25.00	$13.21
93000 Routine ekg using at least 12 leads including interpretation and report	87	83	$75.00	$13.55
81002 Urinalysis, manual test	66	59	$25.00	$3.41
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	59	57	$43.29	$17.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$300.00	$158.40
99213 Established patient office or other outpatient visit, typically 15 minutes	50	44	$135.00	$85.27
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	44	40	$28.18	$26.84
87804 Detection test by immunoassay with direct visual observation for influenza virus	33	31	$25.00	$16.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	29	29	$250.00	$122.14
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	24	12	$15.00	$1.54
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	16	$150.00	$48.91
69209 Removal of impacted ear wax by washing	20	18	$25.00	$16.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	12	$90.00	$53.00
95800 Sleep study including heart rate, breathing, and sleep time	15	14	$645.00	$135.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,402	419	$225.00	$121.45
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,125	132	$10.00	$1.14
J1100 Injection, dexamethasone sodium phosphate, 1 mg	755	133	$5.00	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	250	152	$25.00	$13.43
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	222	135	$60.00	$21.35
99213 Established patient office or other outpatient visit, typically 15 minutes	124	91	$135.00	$85.29
J0696 Injection, ceftriaxone sodium, per 250 mg	117	25	$15.00	$0.49
81002 Urinalysis, manual test	96	86	$25.00	$3.41
93000 Routine ekg using at least 12 leads including interpretation and report	85	80	$75.00	$13.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	24	$90.00	$53.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$300.00	$159.38
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	43	19	$15.00	$1.71
69209 Removal of impacted ear wax by washing	35	25	$25.00	$18.65
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	30	26	$150.00	$49.77
87804 Detection test by immunoassay with direct visual observation for influenza virus	28	14	$25.00	$16.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$250.00	$123.83
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	24	17	$120.00	$38.26
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	16	13	$60.00	$41.38
99496 Transitional care management services for problem of high complexity	13	12	$275.00	$262.12
95800 Sleep study including heart rate, breathing, and sleep time	13	13	$645.00	$147.26
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	13	13	$60.00	$50.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,424	432	$225.00	$123.33
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,094	133	$10.00	$1.26
J1100 Injection, dexamethasone sodium phosphate, 1 mg	735	133	$5.00	$0.15
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	270	161	$60.00	$21.09
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	240	154	$25.00	$13.30
99213 Established patient office or other outpatient visit, typically 15 minutes	150	102	$135.00	$87.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	121	67	$90.00	$53.22
85610 Blood test, clotting time	119	12	$25.00	$4.29
93000 Routine ekg using at least 12 leads including interpretation and report	103	93	$75.00	$13.99
J0696 Injection, ceftriaxone sodium, per 250 mg	86	20	$15.00	$0.53
81002 Urinalysis, manual test	64	52	$25.00	$3.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$300.00	$161.23
G0008 Administration of influenza virus vaccine	59	59	$25.00	$15.74
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	58	58	$80.00	$66.43
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	53	48	$150.00	$50.01
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	44	29	$120.00	$38.61
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	40	21	$15.00	$1.96
69209 Removal of impacted ear wax by washing	35	29	$25.00	$19.75
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	30	30	$35.00	$25.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	29	29	$250.00	$126.43
99496 Transitional care management services for problem of high complexity	16	14	$260.94	$257.25
95800 Sleep study including heart rate, breathing, and sleep time	13	13	$645.00	$153.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,484	457	$225.00	$104.44
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,165	148	$9.95	$1.47
J1100 Injection, dexamethasone sodium phosphate, 1 mg	775	149	$5.00	$0.12
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	262	138	$60.00	$21.66
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	262	170	$25.00	$13.52
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	222	113	$35.00	$25.63
J0696 Injection, ceftriaxone sodium, per 250 mg	140	28	$15.00	$0.57
93000 Routine ekg using at least 12 leads including interpretation and report	115	105	$75.00	$16.02
85610 Blood test, clotting time	114	16	$25.00	$4.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	98	96	$280.00	$140.28
81002 Urinalysis, manual test	80	66	$25.00	$3.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$300.00	$159.32
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	59	26	$15.00	$1.99
99213 Established patient office or other outpatient visit, typically 15 minutes	54	51	$135.00	$72.15
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	52	24	$120.00	$38.85
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	47	36	$150.00	$50.94
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	38	18	$50.00	$28.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	32	32	$250.00	$110.74
G0008 Administration of influenza virus vaccine	32	31	$25.00	$15.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	26	$90.00	$42.61
69209 Removal of impacted ear wax by washing	24	23	$25.00	$18.00
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	24	23	$35.00	$28.52
80305 Testing for presence of drug, read by direct observation	17	13	$50.00	$12.57
99496 Transitional care management services for problem of high complexity	15	14	$250.00	$233.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,822	490	$225.00	$104.63
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,653	192	$10.00	$1.59
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,021	186	$5.00	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	382	218	$25.00	$15.81
J0696 Injection, ceftriaxone sodium, per 250 mg	334	72	$15.00	$0.57
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	234	123	$60.00	$21.33
99213 Established patient office or other outpatient visit, typically 15 minutes	142	107	$135.00	$71.24
93000 Routine ekg using at least 12 leads including interpretation and report	136	127	$75.00	$16.21
81002 Urinalysis, manual test	134	98	$25.00	$3.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$300.00	$159.26
85610 Blood test, clotting time	90	19	$25.00	$4.28
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	87	35	$15.00	$1.78
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	82	53	$150.00	$51.03
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	72	41	$50.00	$27.76
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	48	32	$120.00	$39.16
G0008 Administration of influenza virus vaccine	45	44	$25.00	$15.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	45	45	$250.00	$111.45
69209 Removal of impacted ear wax by washing	41	34	$25.00	$17.21
80305 Testing for presence of drug, read by direct observation	27	18	$50.00	$12.35
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	25	24	$31.00	$26.01
99496 Transitional care management services for problem of high complexity	24	21	$250.00	$222.14
90653 Vaccine for influenza for injection into muscle	21	21	$72.62	$57.45
95800 Sleep study including heart rate, breathing, and sleep time	12	12	$645.00	$157.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$90.00	$42.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,829	495	$225.04	$102.59
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,493	170	$10.00	$1.79
J1100 Injection, dexamethasone sodium phosphate, 1 mg	944	165	$4.98	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	387	199	$24.99	$19.06
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	253	131	$59.37	$20.15
J0696 Injection, ceftriaxone sodium, per 250 mg	179	41	$14.69	$0.61
93000 Routine ekg using at least 12 leads including interpretation and report	171	160	$75.00	$16.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	146	146	$300.00	$158.38
85610 Blood test, clotting time	131	29	$25.00	$4.75
81002 Urinalysis, manual test	127	97	$25.00	$3.41
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	120	37	$15.00	$1.94
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	71	50	$150.00	$51.10
99213 Established patient office or other outpatient visit, typically 15 minutes	68	57	$135.00	$69.53
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	59	29	$120.00	$39.39
G0008 Administration of influenza virus vaccine	36	34	$25.00	$19.06
99496 Transitional care management services for problem of high complexity	28	27	$250.00	$221.37
80305 Testing for presence of drug, read by direct observation	25	14	$50.00	$13.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	23	23	$250.00	$110.94
87804 Detection test by immunoassay with direct visual observation for influenza virus	20	16	$25.00	$16.22
69210 Removal of impacted ear wax	19	16	$75.00	$46.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$90.00	$41.53
90653 Vaccine for influenza for injection into muscle	17	16	$50.00	$49.00
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	17	17	$25.00	$23.57
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$275.00	$164.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,843	434	$225.00	$101.30
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,376	150	$10.00	$1.79
J1100 Injection, dexamethasone sodium phosphate, 1 mg	919	149	$5.00	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	388	186	$25.00	$23.41
J0696 Injection, ceftriaxone sodium, per 250 mg	322	67	$15.00	$0.65
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	211	116	$60.00	$18.70
93000 Routine ekg using at least 12 leads including interpretation and report	173	158	$75.00	$15.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	155	155	$300.00	$155.70
85610 Blood test, clotting time	118	23	$25.00	$5.28
G0008 Administration of influenza virus vaccine	83	80	$25.00	$23.40
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	75	22	$15.00	$3.06
81002 Urinalysis, manual test	67	46	$25.00	$3.43
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	65	36	$120.00	$38.89
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	60	50	$150.00	$50.83
99213 Established patient office or other outpatient visit, typically 15 minutes	47	45	$135.00	$69.20
36415 Insertion of needle into vein for collection of blood sample	44	37	$10.00	$2.94
90653 Vaccine for influenza for injection into muscle	35	35	$50.00	$49.00
99496 Transitional care management services for problem of high complexity	30	25	$100.00	$98.40
J1580 Injection, garamycin, gentamicin, up to 80 mg	26	17	$25.00	$1.52
80305 Testing for presence of drug, read by direct observation	24	17	$50.00	$14.05
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	24	24	$25.00	$18.65
69210 Removal of impacted ear wax	23	21	$75.00	$46.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	18	$90.00	$40.21
87804 Detection test by immunoassay with direct visual observation for influenza virus	21	13	$25.00	$14.58
95800 Sleep study including heart rate, breathing, and sleep time	16	15	$645.00	$155.43
96360 Infusion into a vein for hydration, 31-60 minutes	15	11	$100.00	$52.51
94640 Inhalation treatment for airway obstruction or sputum production	15	14	$50.00	$16.54
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$275.00	$162.14
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	14	12	$25.00	$17.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$250.00	$109.36
94060 Test to measure expiratory airflow and volume changes before and after medication administration	11	11	$130.00	$55.64

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 032384

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine - Nephrology

NUCC Taxonomy Code: 207RN0300X

State License GA 032384

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Suzanne Frederickson , CCC-SLP

Speech-Language Pathologist

NPI 1922577147

Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2019

Internal Medicine (License #032384 in GA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2019

Internal Medicine (License #032384 in GA)

✅

NPI Profile Active March 10, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 10, 2014

Registered at 156 N MAIN ST, CLAYTON, GA 305254266 (Tel: 7062120390)

📍

Updated Business Mailing Address March 10, 2014

Registered at 156 N MAIN ST, CLAYTON, GA 305254266 (Tel: 7062120390)

👤

Provider Name / Credentials Updated March 10, 2014

Recorded as EDWARD FREDERICKSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2014

Internal Medicine (License #032384 in GA)

🟢

Initial NPI Registration & Enumeration November 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1386710085

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 27, 2006

Last Update: July 29, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

156 N Main St

Clayton, GA 305254266

Phone: 7062120390

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