Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Mrs. Alexis Taylor Frederick, MSN, CEN, ACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1093079477

Mrs. Alexis Taylor Frederick, MSN, CEN, ACNP-BC is a Nurse Practitioner in Atlanta, Georgia. Graduated from University of Alabama School of Medicine in 2012, 14 years ago. Practices with Northside Primary Care Professional Services, LLC, a 311-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
14
Trained at
University of Alabama School of Medicine
Licensed in
GA
In the registry since
2012
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

80 Jessie Hill Jr Drive SE Grady Memorial Hospital
Atlanta, GA 30303 Not confirmed with CMS for 14 years — call before visiting
Phone: (404) 752-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN178750 (GA)

Record details

NPI number1093079477
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , CEN , ACNP-BC
Sole proprietorNo
NPI enumeratedJune 29, 2012
Last updated in NPPESJune 29, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Northside Primary Care Professional Services,Llc — 311 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients39
Services billed 61 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Northside Primary Care Professional Services, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 311 clinicians in the practice; 12 are shown here.

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