Individual provider Active NPI

Jordana Freitas, DMD

  • Dentist
  • Blairsville, GA
National Provider Identifier
1508436999
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN122367 Issued in GA
Practice address
100 Wesley Mountain Dr
Blairsville, GA 30512-8338
Phone
(706) 745-7100
NPI assigned
Jun 28, 2021
Last updated
Mar 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN122367 GA Primary

Addresses

Primary practice location

100 Wesley Mountain Dr
Blairsville, GA 30512-8338

Mailing address

100 Wesley Mountain Dr
Blairsville, GA 30512-8338
Phone (706) 745-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN122367GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Dentistry of Blairsville, LLC Dentist CurrentSince Mar 31, 2024 Accepting new patients
Hiawassee Family Dental, LLC PastSince Nov 5, 2023 Accepting new patients
Worthy Family Dentistry, P.C. PastSince Jul 1, 2021 Accepting new patients

Locations

100 Wesley Mountain Dr
Blairsville, GA 30512
Phone (706) 745-7100

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1508436999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WESLEY MOUNTAIN DR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305128338",
            "telephone_number": "706-745-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WESLEY MOUNTAIN DR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305128338",
            "telephone_number": "706-745-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREITAS",
        "first_name": "JORDANA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN122367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.