Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Vicki R Frye, PA-C

Individual provider Family Medicine Physician · NPI 1942271093

Vicki R Frye, PA-C is a Physician Assistant in Cleveland, Tennessee. Qualified in 2002, 24 years ago. Practices with Bradley Physician Services, LLC, a 77-clinician group and offers telehealth. Licensed in Tennessee.

Years since qualifying
24
Licensed in
TN
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1494 Stuart Rd NE
Cleveland, TN 37312-5823
Phone: (423) 614-0777
Fax: (423) 614-0888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0703 (TN)

Record details

NPI number1942271093
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 27, 2006
Last updated in NPPESAugust 13, 2008

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Bradley Physician Services, Llc — 77 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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