JEFFREY S. REID (NPI# 1639104748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639104748 |
| Entity Type | Individual |
| Full Name | JEFFREY S. REID |
| Credential | M.D. |
| Practice Address |
100 Professional Park Suite 204 Carrollton GA 30117-3874 |
| Practice Telephone | 7708343351 |
| Practice Fax Number | 7708301518 |
| Mailing Telephone | 7708343351 |
| Mailing Fax Number | 7708301518 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2012-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
055792 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
055792 | GA | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
055792 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | UPIN | H80159 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023031887 | Jeffrey Reid | Audiologist | 10206 Mason Ave., Chatsworth, CA 91311-3303 | 2006-07-25 |
| Street Address |
100 PROFESSIONAL PARK SUITE 204 |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-3874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932190535 | Joseph Jellicorse | Family Medicine | 100 Professional Park, Suite 204, Carrollton, GA 30117-3874 | 2005-11-02 |
| 1932409166 | Keri L Minton | Physician Assistant | 100 Professional Park, Suite 310, Carrollton, GA 30117-3874 | 2010-10-21 |
| 1962653386 | Holley V. Hagan | Nurse Practitioner | 100 Professional Park, Suite 202, Carrollton, GA 30117 | 2008-10-03 |
| 1154473627 | Shawn R Skalin | Counselor | 100 Professional Park, Suite 302, Carrollton, GA 30117 | 2007-01-17 |
| 1780745380 | Jeanette L Broyles | Counselor | 100 Professional Park, Ste 302, Carrollton, GA 30117-3872 | 2006-12-13 |
| 1003834557 | Michael Anthony Poss | Family Medicine | 100 Professional Park, Suite 202, Carrollton, GA 30117 | 2006-07-17 |
| 1346268810 | Charles Hoyt Davis IIi | Family Medicine | 100 Professional Park, Suite 202, Carrollton, GA 30117-3802 | 2006-07-17 |
| 1205876000 | Lakshmana D Surapu | Psychologist | 100 Professional Park, Suite 301, Carrollton, GA 30117 | 2006-06-08 |
| 1205874468 | Alexander Meski | Psychologist | 100 Professional Park, Suite 301, Carrollton, GA 30117 | 2006-06-02 |
| 1467404871 | Lindsey Baskin Roenigk | Internal Medicine | 100 Professional Park, Suite 204, Carrollton, GA 30117-3874 | 2006-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174591986 | Joseph V Surdacki | Internal Medicine | 3032 E Hebron Pkwy, Suite 101, Carrollton, TX 75010-4465 | 2006-03-08 |
| 1801026513 | Pulmonary Care Specialists, P. A. | Internal Medicine | 4333 N Josey Ln, Suite 207, Carrollton, TX 75010-4629 | 2009-07-16 |
| 1336390145 | Pulmonary Associates of North Dallas, Pa | Internal Medicine | 3032 E Hebron Pkwy, Suite 101, Carrollton, TX 75010-4465 | 2008-10-10 |
| 1023022340 | Melissa Lasola Tompkins | Internal Medicine | 4333 N Josey Ln, Suite 207, Carrollton, TX 75010-4629 | 2006-07-29 |
| 1154364412 | Harjodh Singh Puar | Internal Medicine | 2761 E Trinity Mills Rd, Suite 100, Carrollton, TX 75006-3506 | 2006-06-14 |
| 1194793612 | James P Loftin | Internal Medicine | 4333 N Josey Ln, Suite 207, Carrollton, TX 75010-4629 | 2006-03-10 |
| 1386635852 | Primary Care Group of West Georgia | Internal Medicine | 100 Professional Pl, Suite 204, Carrollton, GA 30117-3874 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337592 | Stefan Vincent Goldberg | Internal Medicine | 3239 Bolero Dr, Atlanta, GA 30341-5705 | 2020-08-18 |
| 1366064164 | Southeast Lung & Critical Care Specialists | Internal Medicine | 1745 City Circle Rd, Baxley, GA 31513-7059 | 2020-05-14 |
| 1205474954 | Tift Regional Health System, Inc | Internal Medicine | 1499 Kennedy Road, Suite A, Tifton, GA 31794-4177 | 2019-12-12 |
| 1659845790 | Frank J Demarco Jr Md LLC | Internal Medicine | 4465 Nelson Brogdon Blvd, Buford, GA 30518-3487 | 2019-01-11 |
| 1063915338 | Trident Pulmonary and Critical Care PC | Internal Medicine | 483 Upper Riverdale Rd Sw Ste E, Riverdale, GA 30274-2579 | 2018-03-13 |
| 1194235853 | Covenant Medical Group LLC | Internal Medicine | 3605 Sandy Plains Rd Ste 240-235, Marietta, GA 30066-3068 | 2017-10-09 |
| 1235659814 | Southeast Lung & Criticial Care Specialists, PC | Internal Medicine | 5356 Reynolds St Ste 303, Savannah, GA 31405-6018 | 2017-06-23 |
| 1619355427 | Southeast Lung & Critical Care Specialists, PC. | Internal Medicine | 400 Cedar St Ste 106, Candler County Hospital, Metter, GA 30439-3338 | 2015-05-13 |
| 1770989154 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 800 East 68th Street, Landmark Hospital, Savannah, GA 31405 | 2014-11-12 |
| 1407267511 | Akshay Bhatnagar | Internal Medicine | 2301 Newnan Crossing Blvd E Ste 200, Newnan, GA 30265-2576 | 2014-05-12 |
| Find all providers with the same taxonomy | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
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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.