OrganizationActive
Fedrick Group, LLC
NPI 1205071867 · Prosthetic/Orthotic Supplier · Lawrenceville, GA
Fedrick Group, LLC is a Prosthetic/Orthotic Supplier organization in Lawrenceville, GA (NPI 1205071867).
Provider details
- NPI number
- 1205071867
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Kasinda Fedrick, Partner(678) 377-2788
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
875 Lawrenceville Suwanee Rd
Suite 310
Lawrenceville, GA 30043-8479
Phone: (678) 377-2788
Fax: (678) 377-2788
Street-level locationGet directions
Mailing address
875 Lawrenceville Suwanee Rd
Lawrenceville, GA 30043-8479
Other names (DBA / former)
- Doing business as
- The Athlete'S Foot
Registry dates
- Enumerated
- 2008-12-11
- Last updated
- 2008-12-11
Frequently asked questions
- What is Fedrick Group, LLC's NPI number?
- Fedrick Group, LLC's National Provider Identifier (NPI) is 1205071867, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fedrick Group, LLC?
- Fedrick Group, LLC is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Fedrick Group, LLC located?
- Fedrick Group, LLC's practice location on file with NPPES is 875 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043-8479.
- What is Fedrick Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Fedrick Group, LLC is (678) 377-2788.
- Who is the authorized official for Fedrick Group, LLC?
- The authorized official listed on Fedrick Group, LLC's NPPES record is Kasinda Fedrick, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fedrick Group, LLC's NPI active?
- Yes — Fedrick Group, LLC's NPI (1205071867) is active in the NPPES registry as of the last update on 2008-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.