Active NPI
Lester A Freeman, MD
- Pediatrics Physician
- Atlanta, GA
National Provider Identifier
1023066685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 047431
- Practice address
- 3915 Cascade Road
Suite 105
Atlanta, GA 30331 - Phone
- (404) 691-4321
- Fax
- (404) 691-4304
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 047431 | GA | Primary |
Addresses
Primary practice location
3915 Cascade Road
Suite 105
Atlanta, GA 30331
Mailing address
3915 Cascade Road
Suite 105
Atlanta, GA 30331
Phone (404) 691-4321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100310000801 | GA | Practitioner - Pediatric Medicine | 6002951308 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047431 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teens, Little Ones and Children Pediatrics LLC | Past | Accepting new patients | |
| Teens Little Ones and Children Pediactrics,LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BEDDAD/Endpoint/BEDDAD
- lfreeman5302@choa.gadirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Atlanta, GA
- NPI 1427214642
-
- Primary Care Clinic/Center
- Atlanta, GA
- NPI 1689826273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1023066685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3915 CASCADE ROAD",
"address_2": "SUITE 105",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30331",
"telephone_number": "404-691-4321",
"fax_number": "404-691-4304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 CASCADE ROAD",
"address_2": "SUITE 105",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30331",
"telephone_number": "404-691-4321",
"fax_number": "404-691-4304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "LESTER",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "047431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.