Freedom Family Medical Clinic PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FREEDOM FAMILY MEDICAL CLINIC PLLC

Practice address

216 W Pleasant Ave
Covington, TN 38019-2538

Phone

(901) 664-2502

NPI assigned

Dec 1, 2023

Organization subpart

No

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

Authorized official

Name

Joseph Andrew Freeman, MDNPI 1194179101

Title

Owner/Ceo

Phone

(901) 569-9974

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Andrew Freeman

  • Family Medicine Physician
  • Covington, TN
  • NPI 1194179101

  Family Medicine, TN

  Medicare reassignment NPD Authorized official

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1821864653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W PLEASANT AVE",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380192538",
            "telephone_number": "901-664-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W PLEASANT AVE",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380192538",
            "telephone_number": "901-664-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM FAMILY MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "901-569-9974",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fast Pace Medical Clinic PLLC
• Lusia Cristina Filetti, MD
• Florida Bay Holdings LLC
• Brittany Shea Fraser, FNP-C
• Hannah Free
• Joseph Andrew Freeman
• Savanna Leigh Freeman
• Mario Fulton II, LMSW
• Elizabeth R Garver, RDN, CLC
• Peggy Gilliam, CRNA

• All providers in Covington, TN
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.