Walton H Reeves Jr. (NPI# 1245282623, PAC ID# 8527241629) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1245282623 |
| PAC ID by PECOS | 8527241629 |
| Professional Enrollment ID | I20110505000104 |
| Full Name | Walton H Reeves Jr. |
| Organization Legal Name | LAUREATE MEDICAL GROUP AT NORTHSIDE, LLC |
| Address |
7823 Spivey Station Blvd Suite 310 Jonesboro GA 30236-2886 |
| Phone Number | 7709961122 |
| Gender | M |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2668458530 |
| Number of Group Practice Members | 68 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110083 | PIEDMONT HOSPITAL |
| 110161 | NORTHSIDE HOSPITAL |
| 110078 | EMORY UNIVERSITY HOSPITAL MIDTOWN |
| 110010 | EMORY UNIVERSITY HOSPITAL |
| 110082 | SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC |
| Address | Phone | Organization |
|---|---|---|
| 1110 W Peachtree St Nw, Suite 1100, Atlanta, GA 30309-3609 | 4048922131 | LAUREATE MEDICAL GROUP AT NORTHSIDE, LLC |
| 7823 Spivey Station Blvd, Suite 310, Jonesboro, GA 30236-2886 | 7709961122 | LAUREATE MEDICAL GROUP AT NORTHSIDE, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | LAUREATE MEDICAL GROUP AT NORTHSIDE, LLC |
| Physicians | 71 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Upasana Bagaria | Internal Medicine | Laureate Medical Group At Northside, LLC | 7823 Spivey Station Blvd, Suite 310, Jonesboro, GA 30236-2886 |
| Jenny Lin | Rheumatology | Laureate Medical Group At Northside, LLC | 6135 Barfield Rd, Atlanta, GA 30328-4307 |
| Laurie A Walsh | Nurse Practitioner | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Morris E Brown | Endocrinology | Laureate Medical Group At Northside, LLC | 7823 Spivey Station Blvd, Suite 310, Jonesboro, GA 30236-2886 |
| Rebecca Mcphail | Physician Assistant | Laureate Medical Group At Northside, LLC | 7823 Spivey Station Blvd, Suite 310, Jonesboro, GA 30236-2886 |
| Laura E Vanpatten | Nurse Practitioner | Laureate Medical Group At Northside, LLC | 6135 Barfield Rd, Atlanta, GA 30328-4307 |
| Mary Elizabeth Hardin | Internal Medicine | Laureate Medical Group At Northside, LLC | 7823 Spivey Station Blvd, Suite 310, Jonesboro, GA 30236-2886 |
| Melanie B Lavoie | Internal Medicine | Laureate Medical Group At Northside, LLC | 6135 Barfield Rd, Atlanta, GA 30328-4307 |
| Cheryl L Orlansky | Registered Dietitian Or Nutrition Professional | Laureate Medical Group At Northside, LLC | 7823 Spivey Station Blvd, Suite 310, Jonesboro, GA 30236-2886 |
| Vanessa Kiepura | Internal Medicine | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Street Address |
7823 SPIVEY STATION BLVD SUITE 310 |
| City | JONESBORO |
| State | GA |
| Zip | 30236-2886 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Upasana Bagaria | Internal Medicine | Laureate Medical Group At Northside, LLC | 7823 Spivey Station Blvd, Suite 310, Jonesboro, GA 30236-2886 |
| Morris E Brown | Endocrinology | Laureate Medical Group At Northside, LLC | 7823 Spivey Station Blvd, Suite 310, Jonesboro, GA 30236-2886 |
| Rebecca Mcphail | Physician Assistant | Laureate Medical Group At Northside, LLC | 7823 Spivey Station Blvd, Suite 310, Jonesboro, GA 30236-2886 |
| Mary Elizabeth Hardin | Internal Medicine | Laureate Medical Group At Northside, LLC | 7823 Spivey Station Blvd, Suite 310, Jonesboro, GA 30236-2886 |
| Cheryl L Orlansky | Registered Dietitian Or Nutrition Professional | Laureate Medical Group At Northside, LLC | 7823 Spivey Station Blvd, Suite 310, Jonesboro, GA 30236-2886 |
| Frieda L Millhouse-jones | Internal Medicine | Laureate Medical Group At Northside, LLC | 7823 Spivey Station Blvd, Suite 310, Jonesboro, GA 30236-2886 |
| Papita M Rozario | Endocrinology | Laureate Medical Group At Northside, LLC | 7823 Spivey Station Blvd, Suite 310, Jonesboro, GA 30236-2886 |
| Jason Silverston | Endocrinology | Laureate Medical Group At Northside, LLC | 7823 Spivey Station Blvd, Suite 310, Jonesboro, GA 30236-2886 |
| Radhakrishnan V Nair | Orthopedic Surgery | Orthopaedic Solutions, P. C. | 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-0002 |
| Antenor Velazco | Orthopedic Surgery | Orthopaedic Solutions, P. C. | 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-0002 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jay Lerner | Chiropractic | Southern Crescent Medical Clinic Inc | 696 Mt Zion Rd, Suite C4, Jonesboro, GA 30236 |
| Rajiv Sood | Physical Medicine and Rehabilitation | Spine and Orthopedic Center | 1287 Hwy 138, Spur 8, Jonesboro, GA 30236 |
| Joon Nam Lee | Physical Medicine and Rehabilitation | Southern Crescent Medical Clinic Inc | 696 Mt Zion Rd, Suite C4, Jonesboro, GA 30236 |
| Michael T Hartpence | Chiropractic | Southern Crescent Medical Clinic Inc | 696 Mt Zion Rd, Suite C4, Jonesboro, GA 30236 |
| Pran N Sood | Orthopedic Surgery | Spine and Orthopedic Center | 1287 Hwy 138, Spur 8, Jonesboro, GA 30236 |
| Regina Mercer Ward | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 239 Arrowhead Blvd, Jonesboro, GA 30236-1101 |
| Kanye Willis | General Surgery | Robert Marriott Medical Corp | 293 Arrowhead Blvd, Jonesboro, GA 30236-1101 |
| Courtney Herndon | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 239 Arrowhead Blvd, Jonesboro, GA 30236-1101 |
| Rafik B Kashlan | General Surgery | 242 Arrowhead Blvd, Jonesboro, GA 30236-1106 | |
| Genevieve E Broomfield | Registered Dietitian Or Nutrition Professional | 217 Arrowhead Blvd, Suite A2, Jonesboro, GA 30236-1169 | |
| Find all physicians in zip 30236 | |||
| City | JONESBORO |
| Zip Code | 30236 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | JONESBORO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Walton H Reeves Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.