DEREK JOSEPH FREESTONE PAC NPI 1114178654

NPI Information

  • NPI: 1114178654
  • Provider Name: DEREK JOSEPH FREESTONE, PAC
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1330 BOILING SPRINGS RD
    SUITE 1600
    SPARTANBURG, SC
    ZIP 29303
  • Phone: (864) 582-6396

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NPI Details

Derek Joseph Freestone, PAC is a surgical physician assistant in Spartanburg, SC with 17 years of experience. Derek Joseph Freestone, PAC NPI is 1114178654. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1330 BOILING SPRINGS RD
SUITE 1600
SPARTANBURG, SC
ZIP 29303-201
Phone: (864) 582-6396
Fax: (864) 542-2939

The NPI 1114178654 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/2/2008 and was last updated on 3/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical1358SOUTH CAROLINAYes
2363A00000XPhysician Assistant1358SOUTH CAROLINANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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