DR. GORDON GLENN FREEMAN (NPI# 1083652267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083652267 |
| Entity Type | Individual |
| Full Name | DR. GORDON GLENN FREEMAN |
| Credential | MD |
| Practice Address |
3891 Highway 78 W Snellville GA 30039-3932 |
| Practice Telephone | 7709724764 |
| Practice Fax Number | 7709724164 |
| Mailing Telephone | 7709724764 |
| Mailing Fax Number | 7709724164 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2008-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 023958 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | AETNA PROVIDER ID | 4073314 | 01 |
| GA | BLUE CROSS BLUE SHIELD PROVIDER ID | 52260821-001 | 01 |
| GROUP NPI | 1568628618 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558444059 | Gordon Frederick Freeman | Dentist | 3731 Tibbetts St, Suite 7, Riverside, CA 92506-2604 | 2006-10-20 |
| Street Address |
3891 HIGHWAY 78 W |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30039-3932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593819 | David Spellings | Physical Therapist | 3991 Us-78, Suite 200, Snellville, GA 30039 | 2020-09-23 |
| 1245849785 | Tanner Brown | Physical Therapist | 3991 Us-78 Suite 200, Snellville, GA 30039 | 2020-07-30 |
| 1215571294 | Ora Gylbryne Brown | Behavioral Analyst | 4189 White Road, Snellville, GA 30039 | 2019-11-01 |
| 1780174953 | Kolawole J Adeyeye | Nursing Care | 4729 Polly Pl, Snellville, GA 30039 | 2018-05-14 |
| 1255820007 | Bacchus Private Home Care LLC | Home Health | 4925 Bridle Point Parkway, Snellville, GA 30039 | 2018-05-08 |
| 1508368051 | Sovereign Medical Services, Inc | Community/Behavioral Health | 3806 Wood Hollow Way, Snellville, GA 30039 | 2018-03-01 |
| 1356865265 | Shanique Griffiths | Counselor | 2580 Broadmoor Ct, Snellville, GA 30039 | 2017-08-01 |
| 1265952584 | Miracles In Motion Foundation | Case Management | 4276 Burgomeister Place, Snellville, GA 30039 | 2017-06-27 |
| 1194245704 | Loliya Joy Stewart | Dentist | 3966 Annistown Rd, Snellville, GA 30039 | 2017-06-24 |
| 1023543014 | Natasha Marie Smith | Nurse's Aide | 2423 Northbrook Rd, Snellville, GA 30039 | 2017-04-27 |
| Find all providers in zip 30039 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487139184 | Lorraine A Smith | Family Medicine | 3121 Grundy Ives Dr, Snellville, GA 30039-3610 | 2018-09-27 |
| 1720569403 | Phoenix Clinic and Afterhour Care | Family Medicine | 2795 Main St W # 21, Snellville, GA 30078-3164 | 2018-08-22 |
| 1649766791 | Peachtree Immediate Care Fp, LLC | Family Medicine | 3991 Highway 78 W Ste 100, Snellville, GA 30039-3929 | 2018-07-02 |
| 1871947176 | Amita Dilip Nawathe | Family Medicine | 1790 Presidential Cir Ste C, Snellville, GA 30078-5688 | 2016-04-22 |
| 1457602989 | Crosslinks Family Practice & Rehab., LLC | Family Medicine | 3300 Centerville Hwy, Ste 1301, Snellville, GA 30039-5994 | 2012-09-24 |
| 1982720827 | Amira M Elsayed | Family Medicine | 2835 Centerville Hwy Bldg 1, Snellville, GA 30078-4503 | 2007-03-22 |
| 1710094644 | Hugh Malcolm Dejarnette Jr. | Family Medicine | 1550 Janmar Rd # B, Snellville, GA 30078-5600 | 2006-08-24 |
| 1164452942 | Yong S Kim | Family Medicine | 1742 Oak Rd, Snellville, GA 30078-2234 | 2006-07-04 |
| 1639133846 | Rashmi Sinha | Family Medicine | 1608 Tree Lane Rd, Building C, Snellville, GA 30078-2399 | 2006-04-14 |
| 1881689115 | Janice C Lim | Family Medicine | 1800 Tree Ln, Suite 120, Snellville, GA 30078-2016 | 2005-09-13 |
| Find all providers in SNELLVILLE | ||||
| City | SNELLVILLE |
| Zip Code | 30039 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.