Freedom Medical Clinic PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FREEDOM MEDICAL CLINIC PLLC

Practice address

622 Wilson Ave
Tullahoma, TN 37388-3265

Phone

(931) 393-2362

Fax

(931) 393-3212

NPI assigned

Nov 13, 2015

Organization subpart

No

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

Authorized official

Name

John Barnes

Title

President

Phone

(931) 393-2362

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1396119327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 WILSON AVE",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883265",
            "telephone_number": "931-393-2362",
            "fax_number": "931-393-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 WILSON AVE",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883265",
            "telephone_number": "931-393-2362",
            "fax_number": "931-393-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-393-2362"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel Nicole Fitts
• David Wendell Floyd, DPO
• Christopher Fogarty, DDS
• Natalie Ann Frasier, APN-C
• Candice Stone Frederick, MED.
• Blaire Freeman
• William Trump Frye, OD
• Kelly G Fuller, LPN
• Rada C Fults, PT
• Function Junction

• Family Medicine Physician in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.