Active NPI
Douglas J Freiberger, M.D.
- Pain Medicine (Anesthesiology) Physician
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 66370
- Practice address
- 455 Philip Blvd Ste 140
Lawrenceville, GA 30046-8768 - Phone
- (770) 962-3642
- Fax
- (770) 962-3643
- NPI assigned
- Jan 3, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 002760 | GA | |
| Pain Medicine Physician | 208VP0000X | P7913 | TX | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 66370 | GA | Primary |
Addresses
Primary practice location
455 Philip Blvd Ste 140
Lawrenceville, GA 30046-8768
Mailing address
455 Philip Blvd Ste 140
Lawrenceville, GA 30046-8768
Phone (770) 962-3642
Other practice location 1
205 Woodhew Dr
Suite 203
Waco, TX 76712-6689
Phone (254) 732-6632
Other practice location 2
1200 Bald Ridge Marina Rd Ste 150
Cumming, GA 30041-8526
Phone (770) 962-3642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002760 | GA | MD | Anesthesiology Physician |
| P7913 | TX | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Emory Clinic Inc | Pain Medicine | Current | Accepting new patients |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Anesthesiology | Current | Accepting new patients |
Locations
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063452381
Anesthesiology
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1588849020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 PHILIP BLVD STE 140",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300468768",
"telephone_number": "770-962-3642",
"fax_number": "770-962-3643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 PHILIP BLVD STE 140",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300468768",
"telephone_number": "770-962-3642",
"fax_number": "770-962-3643"
}
],
"practiceLocations": [
{
"address_1": "205 Woodhew Dr",
"address_2": "Suite 203",
"address_purpose": "LOCATION",
"city": "Waco",
"state": "TX",
"postal_code": "767126689",
"country_code": "US",
"telephone_number": "254-732-6632",
"fax_number": "888-965-6907",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 Bald Ridge Marina Rd Ste 150",
"address_purpose": "LOCATION",
"city": "Cumming",
"state": "GA",
"postal_code": "300418526",
"country_code": "US",
"telephone_number": "770-962-3642",
"fax_number": "770-962-3643",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREIBERGER",
"first_name": "DOUGLAS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-03",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "002760",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "TX",
"license": "P7913",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "GA",
"license": "66370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.