Organization Active NPI

James M Freemont Sr MD Mha PC

  • Obstetrics & Gynecology Physician
  • East Point, GA
National Provider Identifier
1164650768
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
016343 Issued in GA
Legal business name
JAMES M FREEMONT SR MD MHA PC
Practice address
1136 Cleveland Ave
Suite 208
East Point, GA 30344-3618
Phone
(404) 768-3487
Fax
(404) 768-1051
NPI assigned
Jun 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Authorized official

Name
Dr. James M Freemont Sr., M.D.
Title
President
Phone
(404) 768-3487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 016343 GA Primary

Addresses

Primary practice location

1136 Cleveland Ave
Suite 208
East Point, GA 30344-3618

Mailing address

1136 Cleveland Ave
Suite 208
East Point, GA 30344-3618
Phone (404) 768-3487

Other identifiers 1

IdentifierTypeStateIssuer
00117752FMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
James M Freemont MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1136 Cleveland Ave
Ste 208
East Point, GA 30344
Phone (404) 761-9339

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1164650768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 CLEVELAND AVE",
            "address_2": "SUITE 208",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443618",
            "telephone_number": "404-768-3487",
            "fax_number": "404-768-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 CLEVELAND AVE",
            "address_2": "SUITE 208",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443618",
            "telephone_number": "404-768-3487",
            "fax_number": "404-768-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M FREEMONT SR MD MHA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "FREEMONT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-768-3487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "016343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00117752F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.