Thomas Smith Freeman, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2042 Issued in GA

Practice address

121 Jackson St
Newnan, GA 30263-1572

Phone

(770) 251-5873

Fax

(770) 304-2201

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lighthouse Counseling PCGroup PAC ID 3577551738, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lighthouse Counseling PC

  • Professional Counselor
  • Newnan, GA
  • NPI 1205961232

  Clinical

  Medicare reassignment Care Compare group NPD Authorized official
• A New Start Counseling Center Inc

  • Psychologist
  • Fayetteville, GA
  • NPI 1477619195

  Clinical

  NPD (past)
• Accordia Counseling Solutions

  • Counseling Psychologist
  • Fayetteville, GA
  • NPI 1518290857
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1114985785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WOODLAND DR",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631114",
            "telephone_number": "770-253-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 JACKSON ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631572",
            "telephone_number": "770-251-5873",
            "fax_number": "770-304-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "THOMAS",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "2042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00727658C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Harold Freeman, DC
• Keisha D Freeman
• Melanie Lynn Freeman, CNM
• Quinn Freeman, BCBA
• Serenity Freeman, RBT
• Zephie Freeman, HEALTH COACH
• Amanda French
• Dana J French, COTA
• Allison L Fritzsche, PA-C
• Kinsey Frix, BCBA, MS

• Clinical Psychologist in Newnan, GA
• Providers in Newnan, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.