Organization Active NPI

Freeman Medical Group, LLC

  • Primary Care Nurse Practitioner
  • Milton, FL
National Provider Identifier
1760127989
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
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

Updated by the provider on May 2, 2022

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

Authorized official

Name
Tonya Lynn Freeman, APRNNPI 1982673018
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)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1982673018OtherFLINDIVIDUAL NPI-1982673018-CMS
1982673018OtherFLE4113

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL MILTON Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230106001478 FL Part B Supplier - Clinic/Group Practice 5698145712 Receives reassigned benefits from 2 practitioners
Practice locations: Milton, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.