Jessica Freeman, PMHNP-BC, DNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN215662 Issued in GA

Practice address

2945 Miller Ferry Rd SW
Suite 4
Calhoun, GA 30701

Phone

(706) 602-9234

NPI assigned

Mar 27, 2021

Last updated

Oct 31, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Jessica Sparks Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ann M. Groover, MD, LLC

  • Psychiatry Physician
  • Calhoun, GA
  • NPI 1750611075

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1023695707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 N THOMAS RD",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307423625",
            "telephone_number": "423-208-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 MILLER FERRY RD SW",
            "address_2": "SUITE 4",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "30701",
            "telephone_number": "706-602-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JESSICA",
        "credential": "PMHNP-BC, DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-27",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN215662",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN215662",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "grooverclinic@live.com",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2945 Miller Ferry Rd SW",
            "address_2": "Suite 4",
            "city": "Calhoun",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SPARKS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Charles E Fuller, LPC
• Functional Restoration Chiropractic
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• Psychiatric/Mental Health Nurse Practitioner in Calhoun, GA
• Providers in Calhoun, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.