DAVIDETTA FREEMAN (NPI# 1386024941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386024941 |
| Entity Type | Individual |
| Full Name | DAVIDETTA FREEMAN |
| Credential | SFA, CST |
| Practice Address |
1473 Alamein Dr Lawrenceville GA 30046-2862 |
| Practice Telephone | 6784254568 |
| Practice Fax Number | 6784030334 |
| Mailing Telephone | 6784254344 |
| Mailing Fax Number | 6784030334 |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
155777 | GA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1473 ALAMEIN DR |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-2862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770945032 | Dbf Surgical Assistant | Specialist/Technologist, Other | 1473 Alamein Dr, Lawrenceville, GA 30046-2862 | 2016-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295360311 | Taryn Shumaker | Specialist/Technologist, Other | 715 Cedar Valley Trce, Lawrenceville, GA 30043-2424 | 2020-03-09 |
| 1215579982 | Anfernee Jerome Walker | Specialist/Technologist, Other | 990 Thousand Oaks Dr, Lawrenceville, GA 30043-3123 | 2019-10-14 |
| 1851933170 | Andres Eduardo Gomez Vargas | Specialist/Technologist, Other | 965 Dogwood Park Dr, Lawrenceville, GA 30046-9335 | 2019-10-09 |
| 1285158857 | Baker Surgical Services | Specialist/Technologist, Other | 344 Oaktown Pl, Lawrenceville, GA 30044-3864 | 2017-07-26 |
| 1639606734 | Rakhman Eshov | Specialist/Technologist, Other | 1585 Southern Oaks Cv, Lawrenceville, GA 30043-3050 | 2017-05-19 |
| 1124578943 | Nhora Santiago-gamboa | Specialist/Technologist, Other | 1826 Jameson Cir, Lawrenceville, GA 30043-2757 | 2016-10-05 |
| 1972884229 | Atlanta Surgical Assistant,llc. | Specialist/Technologist, Other | 1840 Angus Lee Dr, Lawrenceville, GA 30045-2764 | 2011-08-31 |
| 1427170687 | Leon Hughes Jr. | Specialist/Technologist, Other | 1270 Chris Lake Drive, Lawrenceville, GA 30046 | 2007-04-06 |
| 1235628256 | Mm Surgical Services, LLC | Specialist/Technologist, Other | 930 New Hope Rd, Suite 11-526, Lawrenceville, GA 30045 | 2018-05-04 |
| 1336636679 | Minela Mahmutovic | Specialist/Technologist, Other | 930 New Hope Rd, Suite 11-526, Lawrenceville, GA 30045 | 2018-04-20 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
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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.