FREEMAN MEDICAL GROUP, INC (NPI# 1518935998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518935998 |
| Entity Type | Organization |
| Organization Name | FREEMAN MEDICAL GROUP, INC |
| Practice Address |
9015 Abb Pitman Rd Milton FL 32570-9305 |
| Practice Telephone | 8509570057 |
| Practice Fax Number | 8509570067 |
| Mailing Telephone | 8509570057 |
| Mailing Fax Number | 8509570067 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. TONYA LYNN FREEMAN (OWNER) |
| Authorized Official Telephone | 8509570057 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP 1799622 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | Y9937 | 01 |
| Street Address |
9015 ABB PITMAN RD |
| City | MILTON |
| State | FL |
| Zip Code | 32570-9305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902365604 | Megan Lasure | Behavior Technician | 5950 Berryhill Medical Park Dr Ste B, Milton, FL 32570 | 2019-03-13 |
| 1104328681 | Katherine Smith Lockler | Foster Care Agency | 6357 Brigadier Road, Milton, FL 32570 | 2018-03-01 |
| 1750565768 | Emerald Coast Surgical Specialists Pa | Surgery | 5992 Berryhill Road, 203, Milton, FL 32570 | 2007-12-27 |
| 1285815662 | Chandria Lynn Johnson Md Pa | Obstetrics & Gynecology | 5950 Berryhill Medical Park Dr, Suite B, Milton, FL 32570 | 2007-11-14 |
| 1659590255 | Medical Associates Ltd | Specialist | 5950 Berryhill Medical, Milton, FL 32570 | 2007-04-24 |
| 1255404620 | Jonathan E Fountain Md | Family Medicine | 5976 Berryhill Rd, Milton, FL 32570 | 2006-11-15 |
| 1043317530 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 6501 Caroline St Hwy 90, Milton, FL 32570 | 2006-09-19 |
| 1497764484 | Jennfer A Godfrey | Speech-Language Pathologist | 5165 Canal Street, Milton, FL 32570 | 2006-08-07 |
| 1316977135 | Rural Metro of North Florida Inc | Ambulance | 4930 Glover Lane, Milton, FL 32570 | 2006-07-04 |
| 1558304519 | Pensacola Nephrology Pa | Specialist | 5934 Berryhill Medical Park Dr, Suite 1, Milton, FL 32570 | 2006-06-14 |
| Find all providers in zip 32570 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299350 | Tennille Coakley | Nurse Practitioner | 1018 Shiloh Rd, Milton, WV 25541-9556 | 2019-11-14 |
| 1568424992 | Joyce Ward Nichols | Nurse Practitioner | 5527 Stewart Street, Milton, FL 32570 | 2006-04-03 |
| 1447244694 | Maureen F Oshea | Nurse Practitioner | 92 Highland St, Milton, MA 02186 | 2005-09-02 |
| 1538778162 | Christopher Ryan Tomblin | Nurse Practitioner | 1347 Hillview Dr, Milton, WV 25541-1513 | 2020-07-29 |
| 1275151110 | Taylor Renee Fritz | Nurse Practitioner | 12220 Birmingham Hwy Ste A, Milton, GA 30004-4184 | 2020-07-07 |
| 1891238606 | Southern Cross At Home LLC | Nurse Practitioner | 980 Birmingham Rd, Ste 501-330, Milton, GA 30004-4417 | 2016-11-28 |
| 1790228773 | Southern Cross Health Group, LLC | Nurse Practitioner | 980 Birmingham Rd, Ste 501-330, Milton, GA 30004-4417 | 2016-11-23 |
| 1982154654 | Autumn Caughey | Nurse Practitioner | 5992 Berryhill Rd Ste 302, Milton, FL 32570 | 2016-10-06 |
| 1053787101 | Talitha Briese | Nurse Practitioner | 5500 Stewart St, Milton, FL 32570-4304 | 2015-08-12 |
| 1407076417 | Donna M. Cullinan | Nurse Practitioner | 100 Highland Street, Suite 209, Milton, MA 02186 | 2007-05-01 |
| Find all providers in MILTON | ||||
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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.