Organization Active NPI

Freeman Medical Group, Inc

  • Nurse Practitioner
  • Milton, FL
National Provider Identifier
1518935998
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP 1799622 Issued in FL
Legal business name
FREEMAN MEDICAL GROUP, INC
Practice address
9015 Abb Pitman Rd
Milton, FL 32570-9305
Phone
(850) 957-0057
Fax
(850) 957-0067
NPI assigned
Mar 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Tonya Lynn Freeman, ARNP
Title
Owner
Phone
(850) 957-0057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X ARNP 1799622 FL Primary

Addresses

Primary practice location

9015 Abb Pitman Rd
Milton, FL 32570-9305

Mailing address

9015 Abb Pitman Rd
Milton, FL 32570-9305
Phone (850) 957-0057

Other identifiers 1

IdentifierTypeStateIssuer
Y9937OtherFLBCBS

National Provider Directory

National Provider Directory

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": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518935998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 ABB PITMAN RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325709305",
            "telephone_number": "850-957-0057",
            "fax_number": "850-957-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 ABB PITMAN RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325709305",
            "telephone_number": "850-957-0057",
            "fax_number": "850-957-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEMAN MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-957-0057",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 1799622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y9937",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.