Individual provider Active NPI

Julius G. Freeman Jr., M.D.

  • Family Medicine Physician
  • Chester, SC
National Provider Identifier
1811928708
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12405 Issued in SC
Practice address
1 Medical Park Dr
Chester, SC 29706-9769
Phone
(803) 581-3151
Fax
(803) 581-5388
NPI assigned
Jul 6, 2006
Last updated
Aug 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12405 SC Primary

Addresses

Primary practice location

1 Medical Park Dr
Chester, SC 29706-9769

Mailing address

1 Medical Park Dr
Chester, SC 29706-9769
Phone (803) 581-3151

Other identifiers 1

IdentifierTypeStateIssuer
124056MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20031217000185 SC Practitioner - Family PracticePractitioner - General Practice 4385541473 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office CurrentSince May 27, 2016 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince May 27, 2016 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince May 27, 2016 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
Hillside Emergency Physicians Past Accepting new patients
University Specialty Clinics - Neuropsychiatry and Behavioral Science Past Accepting new patients

Locations

130 Highway 252
Anderson, SC 29621
Phone (864) 231-2600

220 Faison Dr
Columbia, SC 29203
Phone (803) 898-1662

2200 Harden St
Columbia, SC 29203
Phone (803) 737-5300

2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461

2414 Bull St
#3183
Columbia, SC 29201

610 Faison Dr
Columbia, SC 29203
Phone (803) 898-8523

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1811928708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DR",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297069769",
            "telephone_number": "803-581-3151",
            "fax_number": "803-581-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DR",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297069769",
            "telephone_number": "803-581-3151",
            "fax_number": "803-581-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JULIUS",
        "middle_name": "G.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "12405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124056",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, SC

Sources for this page

Verify at the official NPI Registry.