Active NPI
Jamie Lynn Freeman
- Pediatric Occupational Therapist
- Marietta, GA
National Provider Identifier
1598533192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT008981
- Practice address
- 1515 Johnson Ferry Rd Ste 100
Marietta, GA 30062-6492 - Phone
- (770) 977-9457
- NPI assigned
- Dec 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT008981 | GA | Primary |
Addresses
Primary practice location
1515 Johnson Ferry Rd Ste 100
Marietta, GA 30062-6492
Mailing address
1515 Johnson Ferry Rd Ste 100
Marietta, GA 30062-6492
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT008981 | GA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Atlanta Speech & Language Clinics, Inc. | Past | Accepting new patients | |
| Greater Atlanta Speech & Language Clinics, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Marietta, GA
- NPI 1033508528
-
- Occupational Therapist
- Duluth, GA
- NPI 1326262437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1598533192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 JOHNSON FERRY RD STE 100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300626492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 JOHNSON FERRY RD STE 100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300626492",
"telephone_number": "770-977-9457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "JAMIE",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-13",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "GA",
"license": "OT008981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.