Matthew G Freeman MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

27301 Issued in AL

Legal business name

MATTHEW G FREEMAN MD LLC

Practice address

100 Towncenter Blvd Ste 113
Tuscaloosa, AL 35406-1832

Phone

(205) 409-0525

Fax

(260) 969-6023

NPI assigned

Sep 9, 2008

Organization subpart

No

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

Authorized official

Name

Matthew G Freeman, MDNPI 1750482477

Title

Owner

Phone

(205) 913-2485

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Gaines Freeman, MD

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1750482477
  Medicare reassignment NPD Authorized official
• Randa Corley, CRNP

  • Gerontology Nurse Practitioner
  • Reform, AL
  • NPI 1144946245
  Medicare reassignment NPD
• Amy Burbage

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1407418171
  NPD (past)
• Carol Denise Edge, CRNP

  • Nurse Practitioner
  • Montgomery, AL
  • NPI 1649801598
  NPD (past)
• Lucius Bedford Freeman, MD

  • Family Medicine Physician
  • Prattville, AL
  • NPI 1003855560
  NPD (past)
• Tate Heblon Taylor, CRNP

  • Nurse Practitioner
  • Montgomery, AL
  • NPI 1679888549
  NPD (past)
• Adrienne Deleon, PA-C

  • Physician Assistant
  • Columbus, OH
  • NPI 1497295190
  NPD (past)
• Betsy Dell Ellis, FNP

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1801322474
  NPD (past)
• Jody Kirk, ARNP

  • Family Nurse Practitioner
  • Panama City, FL
  • NPI 1457657926
  NPD (past)

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1992954440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TOWNCENTER BLVD STE 113",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061832",
            "telephone_number": "205-409-0525",
            "fax_number": "260-969-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TOWNCENTER BLVD STE 113",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061832",
            "telephone_number": "205-409-0525",
            "fax_number": "260-969-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW G FREEMAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-913-2485",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "27301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "510G700380",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Jean Mascaro, ATC
• Morgan Mason, RDN, LDN
• Jonathan Masters, DPT
• Brian Mastin
• Stephanie Elaine Matney, PHARMD
• Johnna Kovalchick Matthews, LCSW, PIP
• Quinton Dean Matthews, M.D.
• Ashley Williams Maughan, RD, LD
• Daniel Andrew Maughan, PHARMD
• Donald Phillip Maughan, RPH

• Family Medicine Physician in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.