Karen Geneva Freeman, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

902621 Issued in MS

Practice address

256 Greensview Dr
Brandon, MS 39047-7681

Phone

(601) 919-2387

NPI assigned

Jun 6, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ms Care Clinic, IncGroup PAC ID 7113349812, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: karen.freeman.1@21875.direct.athenahealth.com

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.

• Ms Care Clinic, Inc

  • Clinic/Center
  • Ridgeland, MS
  • NPI 1376168500

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1558853366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 GREENSVIEW DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390477681",
            "telephone_number": "601-919-2387",
            "fax_number": "601-919-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 GREENSVIEW DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390477681",
            "telephone_number": "601-919-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "KAREN",
        "middle_name": "GENEVA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kali Benet' Ford, RT(R)
• Bessie R. Fortenberry, LPC, LSW
• Hayden Brooks Fortenberry, PT
• Shelby Lynn Fortenberry, DMD
• Joshua A Foster, CRNA
• Taylor Fry
• Jennifer J Fulcher, LSW, PCMHT
• Kimandria Futral
• Kristen Leggett Gaines, RN
• Christopher Cody Garcia

• Family Nurse Practitioner in Brandon, MS
• Providers in Brandon, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.