Active NPI
Jonathan Freeman
- Surgical Assistant
- Alpharetta, GA
National Provider Identifier
1770015547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 04-168
- Practice address
- 3180 N Point Pkwy
Suite 207
Alpharetta, GA 30005-4248 - Phone
- (770) 559-8725
- Fax
- (770) 559-8276
- NPI assigned
- Mar 31, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 04-168 | GA | Primary |
Addresses
Primary practice location
3180 N Point Pkwy
Suite 207
Alpharetta, GA 30005-4248
Mailing address
818 Windy Trail
Lafayette, GA 30728
Phone (770) 559-8725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-168 | GA | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Surgical Associates Inc. | Surgical Assistant | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Surgical Physician Assistant
- Alpharetta, GA
- NPI 1457403248
Surgical Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490918400000",
"number": "1770015547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 WINDY TRAIL",
"city": "LAFAYETTE",
"state": "GA",
"postal_code": "30728",
"telephone_number": "770-559-8725",
"fax_number": "770-559-8276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3180 N POINT PKWY",
"address_2": "SUITE 207",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054248",
"telephone_number": "770-559-8725",
"fax_number": "770-559-8276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-31",
"last_updated": "2017-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "GA",
"license": "04-168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.