Derek Joseph Freestone, PAC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1358 Issued in SC

Practice address

1330 Boiling Springs Rd
Suite 1600
Spartanburg, SC 29303-4201

Phone

(864) 582-6396

Fax

(864) 542-2939

NPI assigned

Oct 2, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Bon Secours Ambulatory Services - St. Francis, LLC

  • Urgent Care Clinic/Center
  • Greenville, SC
  • NPI 1124495643

  SC

  Medicare reassignment Care Compare group NPD
• Woodruff Road Urgent Care Center, P.C.

  • Urgent Care Clinic/Center
  • Easley, SC
  • NPI 1598073496
  NPD
• Carolina Orthopaedic and Neurosurgical Associates

  • Orthopaedic Surgery Physician
  • Spartanburg, SC
  • NPI 1568454056

  Surgical

  NPD (past)
• Carolina Orthopaedic and Neurosurgical Associates

  • Orthopaedic Surgery Physician
  • Columbus, NC
  • NPI 1083309074
  NPD (past)

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bon Secours Ambulatory Services - St. Francis, LLC 57 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1114178654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 BOILING SPRINGS RD",
            "address_2": "SUITE 1600",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034201",
            "telephone_number": "864-582-6396",
            "fax_number": "864-542-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 BOILING SPRINGS RD",
            "address_2": "SUITE 1600",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034201",
            "telephone_number": "864-582-6396",
            "fax_number": "864-542-2939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11402 Anderson Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296117557",
            "country_code": "US",
            "telephone_number": "864-990-1600",
            "fax_number": "864-990-1601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1298 Woodruff Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296075754",
            "country_code": "US",
            "telephone_number": "864-236-4700",
            "fax_number": "864-236-4701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREESTONE",
        "first_name": "DEREK",
        "middle_name": "JOSEPH",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-02",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "1358",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SC",
            "license": "1358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy L Frazier
• Tonya Knox Frazier, MD
• Brian Shane Frederick, M.D.
• Hanna Brooke Frederick
• Cindy Freeman, SLP
• Meredith Little Freiman, CRNA
• Sarah Cherup French, LMSW
• Lane Eric Fresh, MD
• Kristina Freund, DO
• Irena Freystaetter, LM, CPM

• All providers in Spartanburg, SC
• Surgical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.
• 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.

Verify at the official NPI Registry.