Organization Active NPI

Essie F Daughtry

Doing business as Freeman Family Care

  • Ambulatory Family Planning Facility
  • Greenville, NC
National Provider Identifier
1811016280
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
License
FCL-074-013 Issued in NC
Legal business name
ESSIE F DAUGHTRY
Doing business as
Freeman Family Care
Practice address
506 Sedgefield Dr
Greenville, NC 27834-6477
Phone
(125) 235-5035
Fax
(125) 235-5035
NPI assigned
Mar 28, 2007
Last updated
Jul 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Mr. Anthony Foreman, ADMINISTRATOR
Title
Administrator for Charge
Phone
(252) 355-0355

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X FCL-074-009 NC
Ambulatory Family Planning Facility 261QA0005X FCL-074-013 NC Primary
Ambulatory Family Planning Facility 261QA0005X FCL-074-016 NC
Ambulatory Family Planning Facility 261QA0005X FCL-074-015 NC
Ambulatory Family Planning Facility 261QA0005X FCL074-010 NC

Addresses

Primary practice location

506 Sedgefield Dr
Greenville, NC 27834-6477

Mailing address

506 Sedgefield Dr
PO.Box7271
Greenville, NC 27834-6477
Phone (125) 235-5035

Other identifiers 5

IdentifierTypeStateIssuer
7801955MedicaidNC
7801953MedicaidNC
7802177MedicaidNC
7802176MedicaidNC
7801954MedicaidNC

Other names 1

  • Freeman Family Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1811016280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 SEDGEFIELD DR",
            "address_2": "PO.BOX7271",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278346477",
            "telephone_number": "125-235-5035",
            "fax_number": "125-235-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 SEDGEFIELD DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278346477",
            "telephone_number": "125-235-5035",
            "fax_number": "125-235-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSIE F DAUGHTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "ADMINISTRATOR FOR CHARGE",
        "authorized_official_telephone_number": "252-355-0355",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "NC",
            "license": "FCL-074-009",
            "primary": false
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "NC",
            "license": "FCL-074-013",
            "primary": true
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "NC",
            "license": "FCL-074-016",
            "primary": false
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "NC",
            "license": "FCL-074-015",
            "primary": false
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "NC",
            "license": "FCL074-010",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801955",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801953",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802177",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802176",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801954",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freeman Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.