Jennifer Corbitt Freeman, M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

41559 Issued in GA

Legal business name

JENNIFER CORBITT FREEMAN, M.D., P.C.

Practice address

101 Beckett LN
Suite 506
Fayetteville, GA 30214-7160

Phone

(678) 817-6314

Fax

(678) 817-6319

NPI assigned

Oct 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Olivia Freeman, M.D.

Title

President

Phone

(678) 817-6314

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Pavilion Women's Care Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Corbitt Freeman, M.D.

  • Specialist
  • Fayetteville, GA
  • NPI 1689667800
  Medicare reassignment NPD

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

{
    "created_epoch": "1160265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1306933528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BECKETT LN",
            "address_2": "SUITE 506",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147160",
            "telephone_number": "678-817-6314",
            "fax_number": "678-817-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BECKETT LN",
            "address_2": "SUITE 506",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147160",
            "telephone_number": "678-817-6314",
            "fax_number": "678-817-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER CORBITT FREEMAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-08",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "OLIVIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-817-6314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "41559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000703249F",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "75325",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2327205",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312419",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4717925",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pavilion Women's Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marjani Jean-Philippe
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• Monica Jenkins, PT
• Stephanie Nicole Jenkins, MA CCC-SLP
• John a Keller, MD, PC
• John K Kendrick DMD PC
• Edsworth S John, MD
• Diahann Johnbaptiste, MPA, MS, LPC
• Alexis K Johnson-Nelson, IMFT

• Specialist in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.