KELLY SUE REED (NPI# 1093080624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093080624 |
| Entity Type | Individual |
| Full Name | KELLY SUE REED |
| Other Name | KELLY SUE CLAPPER |
| Credential | PA-C, PHARM.D. |
| Practice Address |
Au Medical Center 1120 15th St Augusta GA 30912-3357 |
| Mailing Address |
1120 15th St Ste Bi1056 Augusta GA 30912-0004 |
| Practice Telephone | 7067218623 |
| Practice Fax Number | 7067211459 |
| Mailing Telephone | 7067213813 |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2020-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RP00006612 | NM | Pharmacy Service Providers |
| Y | 363A00000X | Physician Assistant | 9453 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 1099950 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9901 Medical Center Dr, Rockville, MD 208503357 | 2408267578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669729752 | Kelly Ann Reed | Occupational Therapist | 1310 2nd St N, Stillwater, MN 55082-4061 | 2012-08-08 |
| 1922230937 | Kelly Ruth Reed | Registered Nurse | 151 W 7th Ave Ste 310, Eugene, OR 97401-2676 | 2009-08-10 |
| 1093904104 | Kelly Ann Reed | Occupational Therapist | 3245 Whitcomb Rd, Casper, WY 82601-9710 | 2007-10-15 |
| 1992877708 | Kelly L Reed | Internal Medicine | 912 32nd St Ste A, Anacortes, WA 98221-3473 | 2006-11-15 |
| 1730199449 | Kelly Reed | Physician Assistant | 1 Southwestern Ave, Glens Falls, NY 12801-4390 | 2006-08-08 |
| 1821005430 | Kelly Reed | Family Medicine | 4323 Nw Urbandale Drive, Urbandale, IA 50322 | 2006-08-03 |
| 1356387526 | Kelly Reed | Speech-Language Pathologist | 4022 Grovetree, San Antonio, TX 78247-3532 | 2006-06-22 |
| 1780652024 | Kelly Albert Reed | Physical Therapist | 33300 Utica Rd, Fraser, MI 48026-2017 | 2006-03-11 |
| 1265091326 | Kelly Anne Reed | Optometrist | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2019-06-11 |
| 1942869128 | Kelly Ann Reed | Registered Nurse | 5231 Penn Ave Fl 1, Pittsburgh, PA 15224-1768 | 2019-06-11 |
| Street Address |
AU MEDICAL CENTER 1120 15TH ST |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912-3357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in zip 30912 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443346 | Margaret Howard | Physician Assistant | 1120 15th St # Ba8222, Augusta, GA 30912-0004 | 2020-10-02 |
| 1932740529 | Karmen Littlejohn Elsen | Physician Assistant | 1120 15th St Professional Bld 1, Augusta, GA 30912-0004 | 2019-10-04 |
| 1821643313 | Alicia M Sanborn | Physician Assistant | 21 Enterprise Dr, Augusta, ME 04330-7894 | 2019-08-02 |
| 1750856332 | Annie Ruth Dennis-king | Physician Assistant | 1120 15th St # Bi-3088, Augusta, GA 30912-0004 | 2018-10-10 |
| 1649745415 | Sara Bailey | Physician Assistant | 3486 Peach Orchard Rd, Augusta, GA 30906-5214 | 2018-10-09 |
| 1386154045 | Anna Louise Walker | Physician Assistant | 1120 15th St Digestive Health Center Ad 2226, Augusta, GA 30912-0001 | 2017-10-09 |
| 1801337779 | Women's Health of Augusta | Physician Assistant | 1303 Dantignac St Ste 2500, Augusta, GA 30901-2792 | 2017-03-13 |
| 1376090571 | Kacee Camp Morris | Physician Assistant | 1350 Walton Way Fl 2, Augusta, GA 30901-2612 | 2016-09-06 |
| 1366807216 | Ashley Andrews Macdearmid | Physician Assistant | 15 Enterprise Dr Ste 100, Augusta, ME 04330-7998 | 2015-12-19 |
| 1124490255 | John R Martin | Physician Assistant | 3651 Wheeler Rd., Augusta, GA 30909 | 2015-10-28 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.