Individual provider Active NPI

Pamela D Freeman, FNP-C

  • Family Nurse Practitioner
  • Duluth, GA
National Provider Identifier
1730675893
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201444 Issued in GA
Practice address
Wellness Solution 360
2810 Peachtree Industrial Blvd Ste D
Duluth, GA 30097-0000
Phone
(678) 779-2655
NPI assigned
Jul 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Family Nurse Practitioner 363LF0000X 201444 GA Primary

Addresses

Primary practice location

Wellness Solution 360
2810 Peachtree Industrial Blvd Ste D
Duluth, GA 30097-0000

Mailing address

2810 Peachtree Industrial Blvd Ste D
Duluth, GA 30097-8142
Phone (470) 261-1010

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210804000737 GA Practitioner - Nurse Practitioner 0042614638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2810 Peachtree Industrial Blvd
Suite D
Duluth, GA 30097-8142
Phone (470) 261-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
201444GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Psychiatric Services PC CurrentSince Apr 29, 2021 Accepting new patients

Locations

3338 Dogwood Dr
Hapeville, GA 30354
Phone (678) 428-3191

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.

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1730675893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 PEACHTREE INDUSTRIAL BLVD STE D",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978142",
            "telephone_number": "470-261-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WELLNESS SOLUTION 360",
            "address_2": "2810 PEACHTREE INDUSTRIAL BLVD STE D",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300970000",
            "telephone_number": "678-779-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "PAMELA",
        "middle_name": "D",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "201444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.