Active NPI
Steven A Freedman, M.D.
- Dermatology Physician
- Atlanta, GA
National Provider Identifier
1669446936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 026855
- Practice address
- 2525 Cumberland Parkway
Kaiser Permanente Cumberland Medical Office
Atlanta, GA 30339 - Phone
- (404) 365-0966
- Fax
- (770) 962-5056
- NPI assigned
- Feb 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 026855 | GA | Primary |
Addresses
Primary practice location
2525 Cumberland Parkway
Kaiser Permanente Cumberland Medical Office
Atlanta, GA 30339
Mailing address
3495 Piedmont Road NE
Nine Piedmont Center
Atlanta, GA 30305
Phone (404) 364-7070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00343945A | Medicaid | GA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026855 | GA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Georgia Dermatology, P.C. | Dermatology | Current | Accepting new patients |
| Advanced Dermatology of Georgia, LLC | Dermatology | Past | Accepting new patients |
Locations
771 Old Norcross Rd
Ste 260
Lawrenceville, GA 30046
Phone (770) 962-5040
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.
-
- Dermatology Physician
- Lawrenceville, GA
- NPI 1154483139
-
- Dermatology Physician
- Albany, GA
- NPI 1184005068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318982400000",
"number": "1669446936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3495 PIEDMONT ROAD NE",
"address_2": "NINE PIEDMONT CENTER",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30305",
"telephone_number": "404-364-7070",
"fax_number": "770-962-5056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 CUMBERLAND PARKWAY",
"address_2": "KAISER PERMANENTE CUMBERLAND MEDICAL OFFICE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30339",
"telephone_number": "404-365-0966",
"fax_number": "770-962-5056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEDMAN",
"first_name": "STEVEN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2011-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "GA",
"license": "026855",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00343945A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.