Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. George Fredericks IV, FNP-C

Individual provider Registered Nurse · NPI 1629798384

Mr. George Fredericks IV, FNP-C is a Nurse Practitioner in Blountville, Tennessee. Qualified in 2022, 4 years ago. Practices with Karing Hearts Cardiology PC, a 14-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
4
Licensed in
TN
In the registry since
2022
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1913 Highway 394
Blountville, TN 37617-5349
Phone: (423) 662-7002
Fax: (423) 662-7003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 132 Treadway St, Elizabethton, TN 37643-7642 — (423) 440-3095

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 32503 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 0000192577 (TN)

Record details

NPI number1629798384
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 31, 2022
Last updated in NPPESDecember 12, 2022
Certification dateDecember 12, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Karing Hearts Cardiology Pc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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