Skip to content
NPISignal

Individual Healthcare Provider

Kimm Freeman

NPI Record: ActivePharmacist — Pain Management
NPI1093642514
Kennesaw, Georgia

Provider's NPPES record last updated: May 7, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1093642514
Primary Specialty
Pharmacist — Pain Management
Practice Location
Kennesaw, Georgia
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 11:01 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pharmacist

    Pain Management

    Pharmacy Service Providers

    Primary

    A licensed pharmacist who has demonstrated specialized knowledge and skills, providing integrated, comprehensive, and accessible healthcare services to patients experiencing pain and associated symptoms.

    Taxonomy code 1835P1400X
  • Pharmacist

    Pharmacotherapy

    Pharmacy Service Providers

    A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.

    Taxonomy code 1835P1200X

Provider-Reported License Information

Pharmacist (Georgia)
RPH023600
Pharmacist (Georgia)
RPH023600
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

750 Townpark Ln Nw

Kennesaw, Georgia 30144-5824

Phone: (404) 365-0966

Additional Practice Location

7092 Roselake Cir

Douglasville, Georgia 30134-1683

Phone: (404) 365-0966

Record Information

Enumeration Date
May 7, 2026
Provider's NPPES Record Last Updated
May 7, 2026
Certification Date
May 7, 2026
NPISignal NPPES Dataset
August 2026

See Something Wrong?

Incorrect provider information

Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.

Update a record through NPPES

Something wrong with this page?

If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.

Report a display issue