NPIMap

Individual provider Active NPI

Paul E. Free, M.D.

  • Otolaryngology Physician
  • Fayetteville, GA
National Provider Identifier
1962465179
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
043050 Issued in GA
Practice address
1240 Highway 54 W BLDG 700 Ste 710
Fayetteville, GA 30214-4565
Phone
(770) 991-2800
Fax
(770) 957-8504
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 043050 GA Primary

Addresses

Primary practice location

1240 Highway 54 W BLDG 700 Ste 710
Fayetteville, GA 30214-4565

Mailing address

1240 Highway 54 W BLDG 700 Ste 710
Fayetteville, GA 30214
Phone (678) 534-5922

Other identifiers 1

IdentifierTypeStateIssuer
252419127A, B, CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080716000453 GA Practitioner - Otolaryngology 6002989597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University Alabama Birmingham - School of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Atlanta Ear Nose and Throat PCGroup PAC ID 7113908302, 12 clinicians

Practice addresses (Care Compare)

1240 Hwy 54 W
Suite 710
Fayetteville, GA 30214-4565
Phone (678) 534-5922

1240 Hwy 54 W 710
Fayetteville, GA 30214-4565

830 Eagles Landing Pkwy
Suite 102
Stockbridge, GA 30281-7366
Phone (678) 534-5922

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.32 of 100Reported as individual
Quality
53.13
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Anniston Ear, Nose & Throat, P.C. Otolaryngology CurrentSince Jul 1, 2019 Accepting new patients
South Atlanta Ear Nose & Throat, PC CurrentSince Jan 1, 2014 Accepting new patients
South Atlanta Ambulatory Surgical Center, LLC PastSince May 3, 2021 Accepting new patients
ENT of Georgia, LLC Otolaryngology PastSince May 31, 2012 Accepting new patients
Piedmont Medical Care Corporation PastSince Feb 13, 2022 Accepting new patients
Southeastern ENT, P.C. Past Accepting new patients

Locations

901 Leighton Ave
Ste 601
Anniston, AL 36207
Phone (256) 236-4426

1218 W Paces Ferry Rd NW
Ste 208
Atlanta, GA 30327
Phone (770) 991-2800

1240 Highway 54 W
Ste 710
Fayetteville, GA 30214
Phone (678) 534-3309

1240 Highway 54 W
Ste 700
Fayetteville, GA 30214
Phone (404) 452-9931

830 Eagles Landing Pkwy
Ste 102
Stockbridge, GA 30281
Phone (678) 534-5922

830 Eagles Landing Pkwy
Ste 101
Stockbridge, GA 30281
Phone (402) 779-6135

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.518
  • Direct secure messaging: paul.free.1@27014.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1962465179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 HIGHWAY 54 W BLDG 700 STE 710",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30214",
            "telephone_number": "678-534-5922",
            "fax_number": "770-997-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 HIGHWAY 54 W BLDG 700 STE 710",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144565",
            "telephone_number": "770-991-2800",
            "fax_number": "770-957-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREE",
        "first_name": "PAUL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "043050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252419127A, B, C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.