Individual provider Active NPI

Kimberly Willey Freeman, MD

  • Internal Medicine Physician
  • Germantown, TN
National Provider Identifier
1740656818
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1740656818 Issued in TN
Practice address
7550 Wolf River Blvd Ste 102
Germantown, TN 38138-1779
Phone
(901) 767-5000
Fax
(901) 767-6000
NPI assigned
Aug 12, 2015
Last updated
Aug 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1740656818 TN Primary

Addresses

Primary practice location

7550 Wolf River Blvd Ste 102
Germantown, TN 38138-1779

Mailing address

7550 Wolf River Blvd Ste 102
Germantown, TN 38138-1779
Phone (901) 767-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20170809002264 TN Practitioner - Internal Medicine 4981905262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Internal Medicine Specialists, P.C.Group PAC ID 4486783883, 13 clinicians

Practice addresses (Care Compare)

7550 Wolf River Blvd
Suite 102
Germantown, TN 38138-1779
Phone (901) 767-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1740656818TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Internal Medicine Specialists, P.C. Internal Medicine CurrentSince Sep 1, 2017 Accepting new patients

Locations

7550 Wolf River Blvd
Ste 102
Germantown, TN 38138
Phone (901) 767-5000

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1740656818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 WOLF RIVER BLVD STE 102",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381779",
            "telephone_number": "901-767-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 WOLF RIVER BLVD STE 102",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381779",
            "telephone_number": "901-767-5000",
            "fax_number": "901-767-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "KIMBERLY",
        "middle_name": "WILLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "1740656818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.