OCTAVIA FRAZILE BSN RN NPI 1104744036

NPI Information

  • NPI: 1104744036
  • Provider Name: OCTAVIA FRAZILE, BSN, RN
  • Classification: Registered Nurse - 163WC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Individual
  • Address: 250 E PONCE DE LEON AVE STE 400
    DECATUR, GA
    ZIP 30030
  • Phone: (404) 251-0508

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NPI Details

Octavia Frazile, BSN, RN is a critical care medicine registered nurse in Decatur, GA. Octavia Frazile, BSN, RN NPI is 1104744036. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

250 E PONCE DE LEON AVE STE 400
DECATUR, GA
ZIP 30030-406
Phone: (404) 251-0508

The enumeration date for this NPI number is 7/8/2026 and was last updated on 7/8/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC0200XRegistered NurseCritical Care Medicine259013SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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