Faith Freedom Health LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAITH FREEDOM HEALTH LLC

Practice address

347 County Road 411
Proctorville, OH 45669-9404

Phone

(740) 451-0511

Fax

(740) 451-0605

NPI assigned

Mar 8, 2024

Last updated

Mar 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Michelle Perdue, FNP-BCNPI 1285063511

Title

Owner

Phone

(304) 634-2772

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Michelle Perdue, FNP

  • Family Nurse Practitioner
  • Proctorville, OH
  • NPI 1285063511
  Medicare reassignment NPD Authorized official
• Brennan Gage Rhoades, NP

  • Family Nurse Practitioner
  • Huntington, WV
  • NPI 1518707066

  OH

  Medicare reassignment NPD

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709942400000",
    "number": "1588422141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 COUNTY ROAD 411",
            "city": "PROCTORVILLE",
            "state": "OH",
            "postal_code": "456699404",
            "telephone_number": "740-451-0511",
            "fax_number": "740-451-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 COUNTY ROAD 411",
            "city": "PROCTORVILLE",
            "state": "OH",
            "postal_code": "456699404",
            "telephone_number": "740-451-0511",
            "fax_number": "740-451-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH FREEDOM HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-09",
        "certification_date": "2024-03-09",
        "status": "A",
        "authorized_official_last_name": "PERDUE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-634-2772",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby Deyoung, LPN
• Deeidra S Edmunds, LICSW
• Teresa Gaye Edwards
• Brenda Ellis
• Fairland Local School District
• Laura Fields-Ernest, MA, ED S.
• Brenda Kay Fields
• Patricia Finley
• Amy L Floyd, R.PH.
• William Fortner

• Family Medicine Physician in Proctorville, OH
• Providers in Proctorville, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.