Vera Annette Reaves, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

038076 Issued in GA

Practice address

2892 Mountain Industrial Blvd
Tucker, GA 30084-3014

Phone

(678) 534-0452

Fax

(678) 534-1534

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013925999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 VIRGINIA PINE CIRCLE",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "30047",
            "telephone_number": "770-638-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2892 MOUNTAIN INDUSTRIAL BLVD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300843014",
            "telephone_number": "678-534-0452",
            "fax_number": "678-534-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAVES",
        "first_name": "VERA",
        "middle_name": "ANNETTE",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "038076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA LICENSE",
            "identifier": "038076",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000596626F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristal Ray
• Walker L Ray Jr., MD
• Rayosun Wellness, LLC
• RC2K, LLC Dba Highland Institute-Atlanta
• John Magruder Read III, M. D.
• Jeffrey Stephen Reber, PH.D.
• Recovery Consultants of Atlanta, Inc.
• Fitsum Haile Redai
• Jamie Neal Reed, ED.S, M.ED, NCSP
• Michelle Suzanne Reed

• Family Medicine Physician in Tucker, GA
• Providers in Tucker, 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 Jul 8, 2007; 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.