Individual provider Active NPI

Benjamin Freeman, M.D.

  • Pediatrics Physician
  • Hazard, KY
National Provider Identifier
1154528768
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C5799 Issued in KY
Practice address
101 Town and Country LN
Hazard, KY 41701-9524
Phone
(606) 439-1300
Fax
(606) 439-1400
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20230724003831 AL Practitioner - Pediatric Medicine 9436392768 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42118ALMDPediatrics Physician
84172GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kids 1St Pediatrics, LLC Pediatrics CurrentSince Feb 7, 2021 Accepting new patients
Highlands Professional Services Pediatrics CurrentSince Jun 5, 2023 Accepting new patients
Scottsboro OB GYN Specialists LLC Current Accepting new patients
Fort Payne Pediatrics LLC Pediatrics PastSince Feb 7, 2021 Accepting new patients

Locations

102 Micah Way
Ste 1107
Scottsboro, AL 35769
Phone (256) 259-4802

408 Taylor St
Scottsboro, AL 35768
Phone (256) 259-5211

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

23800 John T Reid Pkwy
Scottsboro, AL 35768
Phone (256) 997-5900

Interoperability endpoints

  • Direct secure messaging: benjamin.freeman.1@29332.direct.athenahealth.com

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 84172 GA
Pediatrics Physician 208000000X C5799 KY Primary
Pediatrics Physician 208000000X 42118 AL

Addresses

NPPES NPI Registry

Primary practice location

101 Town and Country LN
Hazard, KY 41701-9524

Mailing address

PO Box 1988
Hazard, KY 41702-1988
Phone (606) 439-1300

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 29, 2026.

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1154528768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1988",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417021988",
            "telephone_number": "606-439-1300",
            "fax_number": "606-439-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TOWN AND COUNTRY LN",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019524",
            "telephone_number": "606-439-1300",
            "fax_number": "606-439-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "84172",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "C5799",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "42118",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.