Jerrie D Freeman, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1003 Issued in GA

Practice address

3614 J Dewey Gray Cir Ste D
Augusta, GA 30909-6512

Phone

(706) 868-7380

Fax

(706) 868-7223

NPI assigned

Jun 1, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275535437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 YUMA TRL",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075117",
            "telephone_number": "706-650-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 J DEWEY GRAY CIR STE D",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096512",
            "telephone_number": "706-868-7380",
            "fax_number": "706-868-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JERRIE",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "1003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Dodd Freeman, M.D.
• Cordelia Freeman
• David Beauregard Freeman, PHARM.D.
• Davidson L. Freeman, MD
• Herman Freeman III
• Laron Freeman
• Mary Truitt Freeman, RN
• Sarah Michelle Freer, FNP-C
• Fresenius Vascular Care Augusta ASC LLC (Augusta Vascular Surgery Center)
• Fresenius Vascular Care Augusta, LLC

• Physician Assistant in Augusta, GA
• Providers in Augusta, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.