Gregory E. Freeman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9502 Issued in GA

Practice address

100 College St
Hogansville, GA 30230-1114

Phone

(706) 637-6125

Fax

(706) 637-6129

NPI assigned

Jul 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in GA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275557290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COLLEGE ST",
            "city": "HOGANSVILLE",
            "state": "GA",
            "postal_code": "302301114",
            "telephone_number": "706-637-6125",
            "fax_number": "706-637-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COLLEGE ST",
            "city": "HOGANSVILLE",
            "state": "GA",
            "postal_code": "302301114",
            "telephone_number": "706-637-6125",
            "fax_number": "706-637-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "GREGORY",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "9502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooks Family Chiropractic Center LLC
• Brandi Cameron, LPC
• Andrea Marie Carroll, LPC, MS
• Chantel Colmer, D.C.
• Amy Claire Griffith, MS, ATC/L, CSCS
• Hogansville Pharmacy Inc
• Individual
• Cowenda Shavonne Jefferson, MA LPC NCC CCAADC
• Nicole Joseph

• General Practice Dentistry in Hogansville, GA
• Providers in Hogansville, GA by specialty
• General Practice Dentistry 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.