Active NPI
Lynda J Freeland, MD, PLLC
- Internal Medicine Physician
- Memphis, TN
National Provider Identifier
1891157624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD014822
- Legal business name
- LYNDA J FREELAND, MD, PLLC
- Practice address
- 5210 Poplar Ave
Memphis, TN 38119-3515 - Phone
- (901) 761-0685
- Fax
- (901) 761-0688
- NPI assigned
- Mar 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patricia McKnatt
- Title
- Practice Manager
- Phone
- (901) 634-3545
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD014822 | TN | Primary |
Addresses
Primary practice location
5210 Poplar Ave
Memphis, TN 38119-3515
Mailing address
5210 Poplar Ave
Memphis, TN 38119-3515
Phone (901) 761-0685
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LJ84 | Other | TN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5200 Park Ave
Ste 204
Memphis, TN 38119
Phone (901) 567-5505
5210 Poplar Ave
Memphis, TN 38119
Phone (901) 682-5606
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Germantown, TN
- NPI 1720072994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458604800000",
"number": "1891157624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5210 POPLAR AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381193515",
"telephone_number": "901-761-0685",
"fax_number": "901-761-0688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5210 POPLAR AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381193515",
"telephone_number": "901-761-0685",
"fax_number": "901-761-0688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LYNDA J FREELAND, MD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-22",
"last_updated": "2016-03-22",
"status": "A",
"authorized_official_last_name": "MCKNATT",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "901-634-3545"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TN",
"license": "MD014822",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "LJ84",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.