Taheerah D Freeman, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN232647 Issued in GA

Practice address

1495 Duluth Hwy Ste F
Lawrenceville, GA 30043-5143

Phone

(470) 207-1866

Fax

(470) 872-2212

NPI assigned

Mar 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ivydale Wellness Center LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Winder, GA
  • NPI 1659919066

  Family

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  GA, Psychiatric/Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1306962436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 DULUTH HWY STE F",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435143",
            "telephone_number": "470-207-1866",
            "fax_number": "470-872-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 DULUTH HWY STE F",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435143",
            "telephone_number": "470-207-1866",
            "fax_number": "470-872-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "TAHEERAH",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN232647",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN232647",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200849600",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Jordan Freeman, MD
• Davidetta Freeman, SFA, CST
• James Roe Freeman, M.D.
• Leslie S Freeman, PAAA
• Selena Freeman, MS, CCADC
• Douglas J Freiberger, M.D.
• Stacey P French
• Neal Frenkel, MD
• Fresenius Medical Care Central Lawrenceville, LLC
• Fresh Dew Home Care LLC

• Family Nurse Practitioner in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.