Healthcare Provider Details

I. General information

NPI: 1154119980
Provider Name (Legal Business Name): MADISON FREELS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2025
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5221 PORT ROYAL RD STE 301
SPRING HILL TN
37174-3512
US

IV. Provider business mailing address

461 21ST AVE S
NASHVILLE TN
37240-1104
US

V. Phone/Fax

Practice location:
  • Phone: 615-439-6180
  • Fax: 615-261-8683
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number39671
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: