Individual provider Active NPI

Kayla Good Freeman, A.P.R.N.

  • Family Nurse Practitioner
  • Decatur, GA
National Provider Identifier
1932569258
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN217564 Issued in GA
Practice address
114 East Trinity Place
Decatur, GA 30030
Phone
(470) 235-2832
Fax
(470) 410-5141
NPI assigned
Feb 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN217564 GA Primary

Addresses

Primary practice location

114 East Trinity Place
Decatur, GA 30030

Mailing address

114 East Trinity Place
Decatur, GA 30030
Phone (470) 235-2832

Other names 1

  • Kayla Marie Keenan Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210419001787 GA Practitioner - Nurse Practitioner 5092123703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Mercer University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Infusions LLCGroup PAC ID 6608054044, 102 clinicians

Practice addresses (Care Compare)

4745 Ashford Dunwoody Rd
Suite D
Atlanta, GA 30338-5574
Phone (678) 254-0945

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Infusions, LLC CurrentSince Apr 19, 2021 Accepting new patients
Innovative Infusions, LLC CurrentSince Apr 19, 2021 Accepting new patients

Locations

4745 Ashford Dunwoody Rd
Ste D
Atlanta, GA 30338
Phone (678) 254-0945

114 E Trinity Pl
Decatur, GA 30030
Phone (470) 235-2832

3033 W President George Bush Hwy
Ste 100
Plano, TX 75075
Phone (877) 365-5566

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1932569258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 EAST TRINITY PLACE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30030",
            "telephone_number": "470-235-2832",
            "fax_number": "470-410-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 EAST TRINITY PLACE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30030",
            "telephone_number": "470-235-2832",
            "fax_number": "470-410-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "KAYLA",
        "middle_name": "GOOD",
        "name_prefix": "Mrs.",
        "credential": "A.P.R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2024-11-27",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN217564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "KEENAN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.