Organization Active NPI

James M Freeman MD

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Albany, GA
National Provider Identifier
1053477828
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
008764 Issued in GA
Legal business name
JAMES M FREEMAN MD
Practice address
803 N Jefferson St Ste a
Albany, GA 31701-5117
Phone
(229) 312-7600
Fax
(229) 312-7605
NPI assigned
Dec 28, 2006
Last updated
Sep 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
James Freeman
Title
Owner
Phone
(229) 312-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 008764 GA Primary

Addresses

Primary practice location

803 N Jefferson St Ste a
Albany, GA 31701-5117

Mailing address

PO Box 71906
Albany, GA 31708-1906
Phone (229) 312-7600

Other identifiers 1

IdentifierTypeStateIssuer
000158463BMedicaidGA

National Provider Directory

National Provider Directory

Locations

803 N Jefferson St
Albany, GA 31701
Phone (229) 312-4155

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1053477828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71906",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317081906",
            "telephone_number": "229-312-7600",
            "fax_number": "229-312-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N JEFFERSON ST STE A",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317015117",
            "telephone_number": "229-312-7600",
            "fax_number": "229-312-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M FREEMAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-312-7600"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "GA",
            "license": "008764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000158463B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.