Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 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
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

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