Angela Rachelle Freeman, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

904988 Issued in MS

Practice address

30 Circle J Dr Ste 1
Laurel, MS 39440-1981

Phone

(601) 425-0092

NPI assigned

Apr 28, 2021

Last updated

May 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Laurel Pain Clinic PAGroup PAC ID 4486698883, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11184/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Laurel Pain Clinic PA

  • Interventional Pain Medicine Physician
  • Laurel, MS
  • NPI 1811098874
  Medicare reassignment Care Compare group NPD
• Jones Family Medicine Clinic PLLC

  • Primary Care Clinic/Center
  • Laurel, MS
  • NPI 1841385168
  Medicare reassignment NPD
• JFMC Heidelberg, LLC

  • Primary Care Clinic/Center
  • Heidelberg, MS
  • NPI 1083074959
  NPD
• Lakeland Radiologists P a

  • Diagnostic Radiology Physician
  • Jackson, MS
  • NPI 1861428351
  NPD (past)
• Priority Medical Clinic, LLC

  • Family Nurse Practitioner
  • Laurel, MS
  • NPI 1669805297
  NPD (past)

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1265015218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 PECAN GROVE RD",
            "city": "ELLISVILLE",
            "state": "MS",
            "postal_code": "394374299",
            "telephone_number": "601-470-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CIRCLE J DR STE 1",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401981",
            "telephone_number": "601-425-0092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "558 Pecan Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Ellisville",
            "state": "MS",
            "postal_code": "394374299",
            "country_code": "US",
            "telephone_number": "601-470-5913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "ANGELA",
        "middle_name": "RACHELLE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904988",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "R869776",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "904988",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra J Flynt, LPN
• Sherri Leigh Forehand, M.S., CCC-SLP
• Forrest County General Hospital (Heart Care Center of Laurel)
• Scott Fowler
• Carrie A Foxworth, PMHNP-BC
• Fusion Behavioral Health Services
• Geoffrey Lamar Galaher, DC
• Jaquail Gardner
• Michael Gast, M.D.
• Ronald Gatewood, M. D.

• Family Nurse Practitioner in Laurel, MS
• Providers in Laurel, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.