Individual provider Active NPI

James David Freeman, M.D.

  • Diagnostic Radiology Physician
  • Kathleen, GA
National Provider Identifier
1972824506
Registry record updated Aug 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME123857 Issued in FL
Practice address
106 Token CT
Kathleen, GA 31047-4114
Phone
(706) 969-9694
NPI assigned
Jun 17, 2010
Last updated
Aug 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME123857 FL Primary

Addresses

Primary practice location

106 Token CT
Kathleen, GA 31047-4114

Mailing address

1303 Azalea CT
Ste C
Myrtle Beach, SC 29577-5765
Phone (352) 265-0291

Other practice location 1

1303 Azalea Ct Ste B
Myrtle Beach, SC 29577-5765
Phone (706) 969-9694

Other identifiers 1

IdentifierTypeStateIssuer
015037200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC, GA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150729009824 FL Practitioner - Diagnostic Radiology 6103060850 Reassigns benefits to 1 organization
I20160613001159 SC Practitioner - Diagnostic Radiology 6103060850 Reassigns benefits to 1 organization
I20210823001537 GA Practitioner - Diagnostic Radiology 6103060850 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Georgia School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians
Carolina Radiology Associates LLCGroup PAC ID 1658350764, 63 clinicians

Practice addresses (Care Compare)

106 Token CT
Kathleen, GA 31047-4114
Phone (843) 792-1414

199 Village Ctr Blvd
Suite 110
Myrtle Beach, SC 29579-3589
Phone (843) 692-0570

214 Spanish TRL
Kathleen, GA 31047-2178
Phone (843) 692-1000

300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone (843) 692-0570

3655 Mitchell St
Loris, SC 29569-2827
Phone (843) 692-0570

4000 Hwy 9 E
Little River, SC 29566-7833
Phone (843) 692-0570

5050 Hwy 17 Byp S
Myrtle Beach, SC 29588-4500
Phone (843) 692-0570

809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1916

945 82ND Pkwy
Myrtle Beach, SC 29572-4612
Phone (843) 692-0570

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.13 of 100Reported as group
Quality
100
Improvement activities
40
Cost
63.77

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME123857FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2015 Accepting new patients
Carolina Radiology Associates LLC Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Musc Community Physicians CurrentSince Jul 1, 2024 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2015 Accepting new patients
Musc Community Physicians Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients

Locations

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

701 Cashua Ferry Rd
Darlington, SC 29532
Phone (843) 395-1100

2437 Willwood Dr
Florence, SC 29501
Phone (843) 777-3000

3015 W Palmetto St
Florence, SC 29501
Phone (843) 777-6870

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

23 Main St
Ste 103
Hilton Head Island, SC 29926
Phone (803) 290-1898

1037 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214

201 W Meeting St
Lancaster, SC 29720
Phone (803) 286-4446

800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214

4000 Highway 9 E
Little River, SC 29566
Phone (843) 390-8100

4237 River Hills Dr
Little River, SC 29566
Phone (843) 249-5616

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000

2829 E Highway 76
Mullins, SC 29574
Phone (843) 431-2150

1303 Azalea Ct
Ste C
Myrtle Beach, SC 29577
Phone (843) 962-0570

199 Village Center Blvd
Ste 110
Myrtle Beach, SC 29579
Phone (843) 236-7878

5050 Highway 17 Byp S
Myrtle Beach, SC 29588
Phone (843) 692-4540

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

945 82nd Pkwy
Myrtle Beach, SC 29572

806 Highway 17 S
North Myrtle Beach, SC 29582
Phone (703) 209-3963

755 E Smith St
Timmonsville, SC 29161
Phone (843) 346-3900

Interoperability endpoints

  • Direct secure messaging: jfreeman24704@directmcleodehealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723852800000",
    "number": "1972824506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 AZALEA CT",
            "address_2": "STE C",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775765",
            "telephone_number": "352-265-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 TOKEN CT",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310474114",
            "telephone_number": "706-969-9694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1303 Azalea Ct Ste B",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295775765",
            "country_code": "US",
            "telephone_number": "706-969-9694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-17",
        "last_updated": "2024-08-17",
        "certification_date": "2024-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME123857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015037200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kathleen, GA

Sources for this page

Verify at the official NPI Registry.