Organization Active NPI

Freedom Medical Solutions, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fayetteville, GA
National Provider Identifier
1508087537
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FREEDOM MEDICAL SOLUTIONS, INC.
Practice address
49B Hudson PLZ
Fayetteville, GA 30214-1658
Phone
(678) 817-7281
Fax
(678) 817-7282
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. William F Talley III
Title
President & Ceo
Phone
(678) 817-7281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X GA Primary

Addresses

Primary practice location

49B Hudson PLZ
Fayetteville, GA 30214-1658

Mailing address

PO Box 142905
49-B Hudson Plaza
Fayetteville, GA 30214-6523
Phone (678) 817-7281

Other identifiers 1

IdentifierTypeStateIssuer
52048763OtherGABLUE CROSS & BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

49B Hudson Plz
Fayetteville, GA 30214
Phone (678) 817-7281

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1508087537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142905",
            "address_2": "49-B HUDSON PLAZA",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302146523",
            "telephone_number": "678-817-7281",
            "fax_number": "678-817-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49B HUDSON PLZ",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141658",
            "telephone_number": "678-817-7281",
            "fax_number": "678-817-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM MEDICAL SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "TALLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "678-817-7281",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "52048763",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.