Individual provider Active NPI

Tony A Freeman, MD

  • Family Medicine Physician
  • Madison, TN
National Provider Identifier
1285615278
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
43621 Issued in TN
Practice address
1210 Briarville Rd
BLDG F
Madison, TN 37115-5141
Phone
(615) 860-0704
Fax
(615) 860-9882
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 43621 TN
Family Medicine Physician 207Q00000X 43621 TN Primary

Addresses

Primary practice location

1210 Briarville Rd
BLDG F
Madison, TN 37115-5141

Mailing address

1210 Briarville Rd
BLDG F
Madison, TN 37115-5141
Phone (615) 860-0704

Other practice location 1

100B Mallard Sunrise Dr E
Westmoreland, TN 37186-3251
Phone (615) 644-3000

Other identifiers 1

IdentifierTypeStateIssuer
237951MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080814000581 TN Practitioner - Family Practice 3971406265 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Family MedicineGroup PAC ID 5496843930, 4 clinicians
Rose Family ClinicGroup PAC ID 6406022664, 4 clinicians

Practice addresses (Care Compare)

1210 Briarville Rd
Madison, TN 37115-5136
Phone (615) 860-0704

12124 Hwy 52 W
Suite 5
Westmoreland, TN 37186-3257
Phone (615) 644-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43621TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Family Medicine Family Medicine CurrentSince Jun 1, 2008 Accepting new patients
Rose Family Clinic Family Medicine CurrentSince Mar 15, 2013 Accepting new patients

Locations

1210 Briarville Rd
Bldg F
Madison, TN 37115
Phone (615) 860-0704

100B Mallard Sunrise Dr E
Westmoreland, TN 37186
Phone (615) 644-3000

12124 Highway 52 W
Ste 5
Westmoreland, TN 37186
Phone (615) 644-2000

Interoperability endpoints

  • Direct secure messaging: tfreeman@rfm.gwaydirect.com
  • FHIR API: https://api.platform.athenahealth.com/24545/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1285615278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 BRIARVILLE RD",
            "address_2": "BLDG F",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155141",
            "telephone_number": "615-860-0704",
            "fax_number": "615-860-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 BRIARVILLE RD",
            "address_2": "BLDG F",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155141",
            "telephone_number": "615-860-0704",
            "fax_number": "615-860-9882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100B Mallard Sunrise Dr E",
            "address_purpose": "LOCATION",
            "city": "Westmoreland",
            "state": "TN",
            "postal_code": "371863251",
            "country_code": "US",
            "telephone_number": "615-644-3000",
            "fax_number": "615-644-3076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "TONY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "43621",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "43621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "237951",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

Verify at the official NPI Registry.