Organization Active NPI

John J. Freeman, MD, PA

  • Obstetrics & Gynecology Physician
  • Boone, NC
National Provider Identifier
1144339706
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
18948 Issued in NC
Legal business name
JOHN J. FREEMAN, MD, PA
Practice address
838 State Farm Rd.
Su: 2
Boone, NC 28607-5391
Phone
(828) 264-1282
Fax
(828) 430-3513
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Authorized official

Name
John J. Freeman, MD
Title
President
Phone
(828) 430-3511

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 18948 NC Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 18948 NC

Addresses

Primary practice location

838 State Farm Rd.
Su: 2
Boone, NC 28607-5391

Mailing address

125 Wamsutta Mill Rd
Su: B
Morganton, NC 28655-5522
Phone (828) 430-3511

Other identifiers 3

IdentifierTypeStateIssuer
33820OtherNCNC BCBS
4173162MedicaidTN
8933820MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1144339706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WAMSUTTA MILL RD",
            "address_2": "SU: B",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555522",
            "telephone_number": "828-430-3511",
            "fax_number": "828-430-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 STATE FARM RD.",
            "address_2": "SU: 2",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075391",
            "telephone_number": "828-264-1282",
            "fax_number": "828-430-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J. FREEMAN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-430-3511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "18948",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NC",
            "license": "18948",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BCBS",
            "identifier": "33820",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4173162",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8933820",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.