Active NPI
Allan Freedman, M.D.
- Hematology & Oncology Physician
- Snellville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 21690
- Practice address
- 1700 Tree LN
Suite 490
Snellville, GA 30078-6782 - Phone
- (770) 979-2828
- Fax
- (770) 979-3139
- NPI assigned
- Oct 12, 2006
- Last updated
- Jan 26, 2010
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 21690 | GA | Primary |
Addresses
Primary practice location
1700 Tree LN
Suite 490
Snellville, GA 30078-6782
Mailing address
6127 Kings Mountain CT
Stone Mountain, GA 30087-1920
Phone (770) 979-2828
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00245495J | Medicaid | GA | |
| 1508926759 | Other | GA | GROUP NPI NUMBER |
| 1811086457 | Other | GA | PROVIDER NPI NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21690 | GA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gwinnett Pathology Assoc PC | Current | Accepting new patients | |
| Suburban Hematology Oncology Associates, PC | Hematology & Oncology | Current | Accepting new patients |
| Gwinnett Medical Group, Inc | Current | Accepting new patients | |
| Northside Hospital, Inc. | Current | Accepting new patients | |
| North Atlanta Oncology Services LLC | Current | Accepting new patients | |
| Northside Hospital, Inc. | Current | Accepting new patients |
Locations
2098 Teron Trce
Ste 400
Dacula, GA 30019
Phone (678) 312-6800
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
600 Professional Dr
Ste 210
Lawrenceville, GA 30046
Phone (770) 963-8030
631 Professional Dr
Ste 450
Lawrenceville, GA 30046
Phone (770) 963-8030
1700 Tree Ln
Ste 490
Snellville, GA 30078
Phone (770) 963-4445
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Oncology Physician
- Lawrenceville, GA
- NPI 1871055434
-
dba Northside Hospital Gwinnett
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
-
- Hematology & Oncology Physician
- Lawrenceville, GA
- NPI 1508926759
-
- General Practice Physician
- Lawrenceville, GA
- NPI 1780747469
-
- Anatomic Pathology & Clinical Pathology Physician
- Lawrenceville, GA
- NPI 1104887330
-
dba Northside Hospital Duluth
- General Acute Care Hospital
- Duluth, GA
- NPI 1790715381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264464000000",
"number": "1811086457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6127 KINGS MOUNTAIN CT",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300871920",
"telephone_number": "770-979-2828",
"fax_number": "770-979-3139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 TREE LN",
"address_2": "SUITE 490",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300786782",
"telephone_number": "770-979-2828",
"fax_number": "770-979-3139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEDMAN",
"first_name": "ALLAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2010-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "GA",
"license": "21690",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00245495J",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI NUMBER",
"identifier": "1508926759",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NPI NUMBER",
"identifier": "1811086457",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.