Active NPI
Freeman Medical Group, LLC
- Primary Care Nurse Practitioner
- Milton, FL
National Provider Identifier
1760127989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- FREEMAN MEDICAL GROUP, LLC
- Practice address
- 9015 Abb Pitman Rd
Milton, FL 32570-9305 - Phone
- (850) 748-7743
- Fax
- (850) 313-6575
- NPI assigned
- May 2, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tonya Lynn Freeman, APRN
- Title
- Owner
- Phone
- (850) 748-7743
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
9015 Abb Pitman Rd
Milton, FL 32570-9305
Mailing address
9015 Abb Pitman Rd
Milton, FL 32570-9305
Phone (850) 748-7743
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982673018 | Other | FL | INDIVIDUAL NPI-1982673018-CMS |
| 1982673018 | Other | FL | E4113 |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | MILTON | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6478 Highway 90
Unit F
Milton, FL 32570
Phone (850) 365-0512
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Pensacola, FL
- NPI 1982673018
-
- Family Medicine Physician
- Gulf Breeze, FL
- NPI 1104960483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651449600000",
"number": "1760127989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9015 ABB PITMAN RD",
"city": "MILTON",
"state": "FL",
"postal_code": "325709305",
"telephone_number": "850-748-7743",
"fax_number": "850-313-6575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9015 ABB PITMAN RD",
"city": "MILTON",
"state": "FL",
"postal_code": "325709305",
"telephone_number": "850-748-7743",
"fax_number": "850-313-6575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEMAN MEDICAL GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-02",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A",
"authorized_official_last_name": "FREEMAN",
"authorized_official_first_name": "TONYA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-748-7743",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI-1982673018-CMS",
"identifier": "1982673018",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "E4113",
"identifier": "1982673018",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "MILTON",
"affiliation": "N",
"endpointDescription": "freemanmedgroup@aol.com",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "MILTON",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "9015 Abb pitman rd milton fl 32570",
"address_1": "9015 abb pitman rd",
"city": "MILTON",
"state": "FL",
"country_code": "US",
"postal_code": "32570",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Milton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.