Reagan Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

REAGAN MEDICAL CENTER

Practice address

1241 Friendship Rd Ste 110
Braselton, GA 30517-5609

Phone

(678) 344-8700

NPI assigned

Aug 7, 2020

Last updated

Aug 7, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

REAGAN MEDICAL CENTERAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Satish B PoddarNPI 1083603922

Title

MD

Phone

(678) 344-8700

Specialties & licenses 2

Addresses

Part of

Reagan Medical Center

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Satish B Poddar, M.D.

  • Internal Medicine Physician
  • Lawrenceville, GA
  • NPI 1083603922
  Authorized official Same address or phone
• Jeffrey Vrieland, MD

  • Family Medicine Physician
  • Lawrenceville, GA
  • NPI 1235477340
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1003426628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2878 FIVE FORKS TRICKUM RD STE 2A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445896",
            "telephone_number": "678-344-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 FRIENDSHIP RD STE 110",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305175609",
            "telephone_number": "678-344-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAGAN MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REAGAN MEDICAL CENTER",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "PODDAR",
        "authorized_official_first_name": "SATISH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "678-344-8700"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Publix Super Markets, Inc. (Publix Pharmacy #1768)
• Ailin Li Puckett, AGACNP
• Zhen Zhen Qiu
• Ian Christopher Quinn, D.O.
• Thomas Chester Raduszewski, FNP
• Hannah Louise Redlawski, RD
• Kelly E. Redwine, LPC
• Amy Claire Renteria, M.A., CF-SLP
• Resurgens, LLC (Resurgens Orthopaedics)
• Christina H Rich, MD

• Family Medicine Physician in Braselton, GA
• Providers in Braselton, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.