Active NPI
Agnes Regina Freeman, D.C
- Chiropractor
- Whiteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3092
- Practice address
- 1424 S JK Powell Blvd Ste D
Whiteville, NC 28472-9145 - Phone
- (910) 642-1111
- Fax
- (910) 642-0111
- NPI assigned
- Aug 11, 2005
- Last updated
- Dec 28, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3092 | NC | Primary |
Addresses
Primary practice location
1424 S JK Powell Blvd Ste D
Whiteville, NC 28472-9145
Mailing address
1424 S JK Powell Blvd Ste D
Whiteville, NC 28472-9145
Phone (910) 642-1111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89085H6 | Medicaid | NC | |
| 085H6 | Other | NC | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1424 S JK Powell Blvd
Suite D
Whiteville, NC 28472-9145
Phone (910) 642-1111
4465 Main St
Shallotte, NC 28470-4451
Phone (910) 505-8680
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3092 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shallotte Chiropractic Balance and Wellness PLLC | Chiropractor | Current | Accepting new patients |
| Freeman Chiropractic Wellness Center | Chiropractor | Current | Accepting new patients |
| Southeastern Healthcare Centers PC | Chiropractor | Current | Accepting new patients |
| Southeastern Healthcare Centers PC | Chiropractor | Current | Accepting new patients |
| Southeastern Healthcare Center PC | Chiropractor | Current | Accepting new patients |
| Port City Chiropractic Inc. | Chiropractor | Past | Accepting new patients |
| Whiteville Chiropractic Center, PA | Chiropractor | Past | Accepting new patients |
Locations
4465 Main St
Shallotte, NC 28470
Phone (910) 505-8680
1424 S Jk Powell Blvd
Ste D
Whiteville, NC 28472
Phone (910) 642-1111
2595 S 17th St
Wilmington, NC 28401
Phone (910) 392-1252
Organizations & group practices 7
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.
-
- Chiropractor
- Whiteville, NC
- NPI 1619517646
-
- Chiropractor
- Shallotte, NC
- NPI 1609581933
-
- Chiropractor
- Wilmington, NC
- NPI 1730141599
-
- Chiropractor
- Wilmington, NC
- NPI 1982666749
-
- Chiropractor
- Shallotte, NC
- NPI 1750344644
-
- Chiropractor
- Wilmington, NC
- NPI 1215096334
-
- Chiropractor
- Whiteville, NC
- NPI 1447266952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703721600000",
"number": "1083616825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 S JK POWELL BLVD STE D",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284729145",
"telephone_number": "910-642-1111",
"fax_number": "910-642-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1424 S JK POWELL BLVD STE D",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284729145",
"telephone_number": "910-642-1111",
"fax_number": "910-642-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "AGNES",
"middle_name": "REGINA",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-11",
"last_updated": "2023-12-28",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3092",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89085H6",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "085H6",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whiteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.