DR. FREDDIE JAMES WAKEFIELD JR. DMD
NPI 1366589707
Dentist - General Practice in Jonesboro, GA

Q: What is Freddie Wakefield's NPI number?

The NPI number for Freddie Wakefield is 1366589707. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Q: What is Freddie Wakefield's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Freddie Wakefield was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 01, 2007PECOS Enrolled

6568 TARA BLVD, JONESBORO, GA 30236(770) 961-2000(770) 961-9692 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Freddie James Wakefield Jr. Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FREDDIE JAMES WAKEFIELD JR. DMD (NPI 1366589707) is an individual general practice provider in Jonesboro, Georgia, licensed in Georgia (11152) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366589707

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. FREDDIE JAMES WAKEFIELD JR.Credential: DMD

Location Address6568 TARA BLVDJonesboro, GA 30236

Mailing Address1650 Oakbrook Dr, Ste 440Norcross, GA 30093 · (770) 448-1030 · Fax (770) 446-8000

Phone(770) 961-2000

Fax(770) 961-9692

Sole ProprietorNo

Enumeration DateFebruary 1, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1366589707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in GA · 11152

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

6568 TARA BLVD, Jonesboro, GA 30236

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Freddie James Wakefield Jr. Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRUCE BROWN HAYS DMD

Dentist (General Practice)

6568 TARA BLVD
JONESBORO, GA 30236

Clayton County (770) 961-2000

CARE PROVIDENCE ADULT DAYCARE CORPORATION

Clinic/Center (Adult Day Care)

6568 TARA BLVD
JONESBORO, GA 30236

Clayton County (404) 974-9744

DR. SCOTT LIEM HUYNH D.M.D

Dentist (General Practice)

6568 TARA BLVD
JONESBORO, GA 30236

Clayton County (770) 961-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Freddie Wakefield's NPI number?

The NPI number for Freddie Wakefield is 1366589707. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Freddie Wakefield located?

Freddie Wakefield practices at 6568 Tara Blvd, Jonesboro, GA 30236. The listed phone number is (770) 961-2000.

What is Freddie Wakefield's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Freddie Wakefield enrolled in Medicare?

Yes. Freddie Wakefield is registered in the Medicare PECOS enrollment system.

What insurance does Freddie Wakefield accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 5 other insurers list Freddie Wakefield as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Freddie Wakefield was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.