Active NPI
Charles Roger Freed Jr., MD
- Psychiatry Physician
- Nashville, TN
National Provider Identifier
1992825889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 33877
- Practice address
- 5515 Edmondson Pike
Suite 119-E
Nashville, TN 37211-5871 - Phone
- (615) 783-2648
- Fax
- (978) 285-3016
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 33877 | TN | |
| Psychiatry Physician | 2084P0800X | 33877 | TN | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 33877 | TN |
Addresses
Primary practice location
5515 Edmondson Pike
Suite 119-E
Nashville, TN 37211-5871
Mailing address
5515 Edmondson Pike
Suite 119-E
Nashville, TN 37211-5871
Phone (615) 783-2648
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247356800000",
"number": "1992825889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5515 EDMONDSON PIKE",
"address_2": "SUITE 119-E",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372115871",
"telephone_number": "615-783-2648",
"fax_number": "978-285-3016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5515 EDMONDSON PIKE",
"address_2": "SUITE 119-E",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372115871",
"telephone_number": "615-783-2648",
"fax_number": "978-285-3016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREED",
"first_name": "CHARLES",
"middle_name": "ROGER",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2009-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "TN",
"license": "33877",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "33877",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TN",
"license": "33877",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.