Individual provider Active NPI

Christine Young Kim Freeman, D.O.

  • Internal Medicine Physician
  • Durham, NC
National Provider Identifier
1770787558
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2018-00017 Issued in NC
Practice address
1301 Fayetteville St
Durham, NC 27707-2398
Phone
(919) 956-4000
Fax
(919) 667-2322
NPI assigned
Jun 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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 2018-00017 NC Primary

Addresses

Primary practice location

1301 Fayetteville St
Durham, NC 27707-2398

Mailing address

434 Walnut Point Dr
Matthews, NC 28105-1552
Phone (469) 223-0217

Other identifiers 1

IdentifierTypeStateIssuer
1770787558MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20181119000795 NC Practitioner - Internal Medicine 5698939601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRDS PLLCGroup PAC ID 6103340633, 3 clinicians

Practice addresses (Care Compare)

3135 Springbank LN
Suite 140
Charlotte, NC 28226-3363
Phone (704) 702-6555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018-00017NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRDS, PLLC CurrentSince Apr 24, 2025 Accepting new patients

Locations

3135 Springbank Ln
Ste 140
Charlotte, NC 28226
Phone (704) 702-6555

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.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1770787558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 WALNUT POINT DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281051552",
            "telephone_number": "469-223-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 FAYETTEVILLE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072398",
            "telephone_number": "919-956-4000",
            "fax_number": "919-667-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM FREEMAN",
        "first_name": "CHRISTINE",
        "middle_name": "YOUNG",
        "name_prefix": "Ms.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2018-00017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770787558",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.