Organization Active NPI

Freedoctor, Inc

Doing business as MyFreeDoctor

  • Family Medicine Physician
  • Santa Rosa Beach, FL
National Provider Identifier
1902562739
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FREEDOCTOR, INC
Doing business as
MyFreeDoctor
Practice address
114 Arbor LN
Santa Rosa Beach, FL 32459-5793
Phone
(850) 776-4497
NPI assigned
Nov 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Authorized official

Name
Chelsea Anne Smith
Title
Co-Founder
Phone
(850) 480-5629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

114 Arbor LN
Santa Rosa Beach, FL 32459-5793

Mailing address

PO Box 1790
Santa Rosa Beach, FL 32459-1790

Other names 1

  • MyFreeDoctor Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1902562739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1790",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324591790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 ARBOR LN",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595793",
            "telephone_number": "850-776-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOCTOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "850-480-5629"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyFreeDoctor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.