Individual provider Active NPI

Samuel Milfred Reeves, PA

  • Physician Assistant
  • Tuscaloosa, AL
National Provider Identifier
1043096480
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.2228 Issued in AL
Practice address
710 15TH St E
Tuscaloosa, AL 35401-3236
Phone
(205) 526-2053
NPI assigned
Sep 1, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.2228 AL Primary

Addresses

Primary practice location

710 15TH St E
Tuscaloosa, AL 35401-3236

Mailing address

3700 Cahaba Beach Rd
Birmingham, AL 35242-5225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241017001173 AL Practitioner - Physician Assistant 0345772182 Reassigns benefits to 1 organization
I20250722003625 CA Practitioner - Physician Assistant 0345772182 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parhelion Healthcare IncGroup PAC ID 5193199461, 10 clinicians
Livwell Healthcare Solutions PCGroup PAC ID 0749637312, 10 clinicians

Practice addresses (Care Compare)

5311 Hopyard Rd
Pleasanton, CA 94588-3307
Phone (925) 202-2478

594 El Camino Real
Santa Clara, CA 95050-4345
Phone (408) 821-4449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.2228ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Parhelion Healthcare Inc CurrentSince Oct 11, 2025 Accepting new patients
American Family Care, LLC CurrentSince Jun 13, 2024 Accepting new patients
American Family Care, LLC CurrentSince Jun 13, 2024 Accepting new patients
American Current Care of California, a Medical Corporation Current Accepting new patients

Locations

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

710 15th St E
Tuscaloosa, AL 35401
Phone (205) 509-2941

5311 Hopyard Rd
Pleasanton, CA 94588
Phone (925) 202-2478

2 Connecticut St
San Francisco, CA 94107
Phone (415) 621-5055

3 S Linden Ave
South San Francisco, CA 94080
Phone (650) 238-1500

21081 S Western Ave
Ste 150
Torrance, CA 90501
Phone (310) 782-3333

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1043096480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 CAHABA BEACH RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 15TH ST E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354013236",
            "telephone_number": "205-526-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "SAMUEL",
        "middle_name": "MILFRED",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.2228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.