Kaitlyn Marie Freeman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10860 Issued in GA

Practice address

993 Johnson Fy Rd NE Ste F210
Atlanta, GA 30342-1688

Phone

(404) 256-1727

Fax

(404) 252-3591

NPI assigned

Feb 16, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Family Practice Center, P.C.

  • Primary Care Clinic/Center
  • Atlanta, GA
  • NPI 1386763514
  Medicare reassignment
• Dunwoody Village Clinic, PC

  • Internal Medicine Physician
  • Dunwoody, GA
  • NPI 1457494502
  NPD (past)

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1841739307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GROGANS LAKE DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303503115",
            "telephone_number": "320-290-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 JOHNSON FY RD NE STE F210",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421688",
            "telephone_number": "404-256-1727",
            "fax_number": "404-252-3591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1760 Ridgeway Ave NW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303187512",
            "country_code": "US",
            "telephone_number": "320-290-5699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "KAITLYN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006305",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deandrea Freeman
• George Thomas Freeman Jr., D.C.
• James Aaron Freeman, PT
• Jennifer Lanier Freeman, PT, DPT
• John F Freeman, AA
• Kavon Dominick Freeman
• Kayla Sondria Freeman
• Leonard F Freeman III, BS
• Lester A Freeman, MD
• Licia Freeman, M.A., M.ED. LMFT

• Physician Assistant in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.

Verify at the official NPI Registry.