Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Patrice Kimone Frederick

Individual provider Acute Care Nurse Practitioner · NPI 1588193288

Patrice Kimone Frederick is a Nurse Practitioner in Atlanta, Georgia. Qualified in 2016, 10 years ago. Practices with Northside Primary Care Professional Services, LLC, a 311-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2017
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Practice location Address checks out

550 Peachtree St NE
Atlanta, GA 30308-2212
Phone: (404) 686-1000
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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 179940 (GA)

Record details

NPI number1588193288
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 6, 2017
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Northside Primary Care Professional Services,Llc — 311 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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