Active NPI
Annie Rose Howell-Freckleton, ANP
- Nurse Practitioner
- Tucker, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN183877
- Practice address
- 1462 Montreal Road
Suite 201
Tucker, GA 30084-6931 - Phone
- (678) 580-6931
- Fax
- (770) 807-0978
- NPI assigned
- Jul 28, 2014
- Last updated
- May 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN183877 | GA | Primary |
| Family Nurse Practitioner | 363LF0000X | RN183877 | GA |
Addresses
Primary practice location
1462 Montreal Road
Suite 201
Tucker, GA 30084-6931
Mailing address
1462 Montreal Road
Suite 201
Tucker, GA 30084-6931
Phone (678) 580-6931
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003156391A | Medicaid | GA | |
| 003156391D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN183877 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peachtree Hospice of Georgia, LLC | Current | Accepting new patients | |
| Hospital Physician Services - Southeast Professional Corporation | Nurse Practitioner | Current | Accepting new patients |
| Peachtree Hospice of Georgia, LLC | Past | Accepting new patients |
Locations
135 Gemini Cir
Ste 202
Birmingham, AL 35209
Phone (205) 949-0400
1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011
1395 S Marietta Pkwy SE
Ste 116
Marietta, GA 30067
Phone (678) 932-6302
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
1233 Eagles Landing Pkwy
Ste Ab
Stockbridge, GA 30281
Phone (404) 480-3842
354 Corporate Center Ct
Stockbridge, GA 30281
Phone (678) 583-2269
2460 Washington Rd
Thomson, GA 30824
Phone (706) 595-1411
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
Nurse Practitioner
-
dba BridgeWay Palliative Care
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Stockbridge, GA
- NPI 1255788436
-
- Community Based Hospice Care Agency
- Stockbridge, GA
- NPI 1043632334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493856000000",
"number": "1679981211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1462 MONTREAL ROAD",
"address_2": "SUITE 201",
"city": "TUCKER",
"state": "GA",
"postal_code": "300846931",
"telephone_number": "678-580-6931",
"fax_number": "770-807-0978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1462 MONTREAL ROAD",
"address_2": "SUITE 201",
"city": "TUCKER",
"state": "GA",
"postal_code": "300846931",
"telephone_number": "678-580-6931",
"fax_number": "770-807-0978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWELL-FRECKLETON",
"first_name": "ANNIE",
"middle_name": "ROSE",
"credential": "ANP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-28",
"last_updated": "2017-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN183877",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN183877",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003156391A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003156391D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.