Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jesse Fredeen, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104289420

Jesse Fredeen, MD is a Student in an Organized Health Care Education/Training Program in Decatur, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1670 Clairmont Rd
Decatur, GA 30033-4004
Phone: (404) 621-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 82526 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104289420
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 4, 2016
Last updated in NPPESApril 18, 2022
Certification dateApril 18, 2022
Mailing address1670 Clairmont Rd, Decatur, GA 30033-4004

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