Art Dewayne Freeman II

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT002240 Issued in GA

Practice address

1500 N Patterson St
Valdosta, GA 31698-0100

Phone

(225) 333-5848

NPI assigned

May 30, 2018

Last updated

May 30, 2018By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Valdosta State University

  • Athletic Trainer
  • Valdosta, GA
  • NPI 1578117388
  NPD (past)
• Valdosta State University

  dba Valdosta State University Sports Medicine

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Valdosta, GA
  • NPI 1962787804

  Athletic Trainer

  NPD (past)

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1295227932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N PATTERSON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316980100",
            "telephone_number": "225-333-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N PATTERSON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316980100",
            "telephone_number": "225-333-5848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 baytree road",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "31602",
            "country_code": "US",
            "telephone_number": "225-333-5848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "ART",
        "middle_name": "DEWAYNE",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT002240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larissa Kathleen Frauenheim, APRN
• Calvin Frazier
• Freckles Mentoring
• Amanda Frederiksen
• Allison Freeman, OT
• Baylee Freeman, LPC
• Brittnaey Nicole Freeman
• Kelsey Freeze
• Edward John Fricker, MD
• Teri Friedman

• Athletic Trainer in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.