Active NPI
Elizabeth Thomas Reeves, M.D., M.P.H.
- Family Medicine Physician
- Fort George G Meade, MD
National Provider Identifier
1023083615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101235676
- Practice address
- Kimbrough Ambulatory Medical Center
2480 Llewellyn Avenue
Fort George G. Meade, MD 20755 - Phone
- (301) 677-8800
- Fax
- (301) 677-8013
- NPI assigned
- Feb 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 0101235676 | VA | |
| Family Medicine Physician | 207Q00000X | 0101235676 | VA | Primary |
Addresses
Primary practice location
Kimbrough Ambulatory Medical Center
2480 Llewellyn Avenue
Fort George G. Meade, MD 20755
Mailing address
Kimbrough Ambulatory Care Center
2480 Llewellyn Avenue
Fort George G. Meade, MD 20755-7081
Phone (301) 677-8751
Other names 1
- Dr. Elizabeth Katherine Thomas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130718000752 | SC | Order and Referring Only - Family Practice | 3072754910 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101235676 | VA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1023083615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "KIMBROUGH AMBULATORY CARE CENTER",
"address_2": "2480 LLEWELLYN AVENUE",
"city": "FORT GEORGE G. MEADE",
"state": "MD",
"postal_code": "207557081",
"telephone_number": "301-677-8751",
"fax_number": "301-677-8013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KIMBROUGH AMBULATORY MEDICAL CENTER",
"address_2": "2480 LLEWELLYN AVENUE",
"city": "FORT GEORGE G. MEADE",
"state": "MD",
"postal_code": "20755",
"telephone_number": "301-677-8800",
"fax_number": "301-677-8013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVES",
"first_name": "ELIZABETH",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-17",
"last_updated": "2024-10-11",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "VA",
"license": "0101235676",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101235676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "THOMAS",
"middle_name": "KATHERINE",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort George G Meade, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.