NPI age
17 years
Enumerated 2008-12-11
● Active Type 2 · Organization
Fedrick Group, Llc
Fedrick Group, Llc is 1 of 408 prosthetic/orthotic supplier organizations in Georgia.
Primary specialty
Prosthetic/Orthotic Supplier
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fedrick
Partner
Last NPPES update
2008-12-11
Source: monthly bulk 2026-05
How this organization compares
Across 408 active prosthetic/orthotic supplier providers in Georgia.
NPI age
17 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-12Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
875 Lawrenceville Suwanee Rd, Suite 310
Lawrenceville, GA 300438479
Mailing address
875 Lawrenceville Suwanee Rd, Suite 310
Lawrenceville, GA 300438479
Authorized official
Kasinda Fedrick
Partner
📞 6783772788
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Kristina Chen, O.D. Optometrist NPI 1700260270
- Jamie Fendley, D.V.M. Specialist NPI 1083165914
- Paula Gorlin, OD Optometrist NPI 1861463705
- Selma Hashimi Optometrist NPI 1306467691
- Niddhi Patel Optometrist NPI 1780480228
Specialties
-
Prosthetic/Orthotic Supplier PrimaryAn organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
The Athlete's Foot
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.