Tamika D Ussery-Freeman, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME114418 Issued in FL

Practice address

550 Redstone Ave W Ste 390
Crestview, FL 32536-6434

Phone

(850) 683-5100

Fax

(850) 683-5102

NPI assigned

Mar 1, 2006

Last updated

Jan 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drusseryfreeman@pensacolapeds.opdirect.net
• Direct secure messaging: tamika.usseryfreeman@westgahealth.gadirect.net

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.

• Baptist Physician Associates LLC

  • Urgent Care Clinic/Center
  • Navarre, FL
  • NPI 1235128646

  Pediatrics

  Medicare reassignment NPD
• Sacred Heart Health System, Inc.

  dba Ascension Medical Group Sacred Heart

  • Ambulatory Family Planning Facility
  • Pensacola, FL
  • NPI 1962453308
  NPD
• Pensacola Pediatrics PA

  • Pediatrics Physician
  • Gulf Breeze, FL
  • NPI 1013680651
  NPD (past)
• Pensacola Pediatrics PA

  • Pediatrics Physician
  • Pensacola, FL
  • NPI 1144302324
  NPD (past)
• Pensacola Pediatrics PA

  • Pediatrics Physician
  • Pace, FL
  • NPI 1225701550
  NPD (past)
• Pensacola Pediatrics PA

  • Pediatrics Physician
  • Navarre, FL
  • NPI 1467178343
  NPD (past)
• Pensacola Pediatrics, PA

  • Pediatrics Physician
  • Pensacola, FL
  • NPI 1255004586
  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1629045521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "telephone_number": "904-450-6014",
            "fax_number": "904-450-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 REDSTONE AVE W STE 390",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325366434",
            "telephone_number": "850-683-5100",
            "fax_number": "850-683-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USSERY-FREEMAN",
        "first_name": "TAMIKA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "052846",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME114418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406306123A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ur Dental, PLLC
• Leilani Urap Cook
• Jacob Urda, D.O
• Jared Ure, DMD
• Jessica Carolina Urena
• Alexandra Van Dyke
• Jennifer Lanier Van Vrancken, D.P.T.
• Sydney Vandaele
• Lauren Vanslee, DPT
• Virgil Vargas, MSN, APRN, FNP-C

• Pediatrics Physician in Crestview, FL
• Providers in Crestview, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.

Verify at the official NPI Registry.