Individual ProviderSimon FragakisCounselorBehavioral Health & Social Service ProvidersPractice Address3520 Piedmont Rd NE Ste 350, Atlanta, GA 30305-1582(404) 351-2008(404) 313-2023PECOS EnrollmentBased on the most recent information from CMS, provider Simon Fragakis is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1700316635Provider TypeIndividualFull NameFragakis, SimonCredentialMSGenderMaleSole ProprietorNoEnumeration Date6/13/2017Last Updated6/13/2017Contact InformationPractice LocationPractice Address3520 Piedmont Rd NE Ste 350, Atlanta, GA 30305-1582Phone(404) 351-2008FaxUnlisted FaxMailing LocationMailing Address3227 Habersham Rd NW, Atlanta, GA 30305-1162Phone(404) 313-2023FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer