Individual provider Active NPI

Andrew Earl Reid, PA-C

  • Physician Assistant
  • Lauderhill, FL
National Provider Identifier
1063777431
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9106515 Issued in FL
Practice address
4140 NW 12TH St
Lauderhill, FL 33313-5816
Phone
(954) 739-3331
NPI assigned
Jul 11, 2012
Last updated
Jul 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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 PA9106515 FL Primary

Addresses

Primary practice location

4140 NW 12TH St
Lauderhill, FL 33313-5816

Mailing address

4140 NW 12TH St
Lauderhill, FL 33313-5816
Phone (954) 739-3331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20141105002001 FL Practitioner - Physician Assistant 5294957346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

10081 W Oakland Park Blvd
Unit 1
Sunrise, FL 33351-6919
Phone (954) 579-6858

1200 W Yamato Rd
Suite A7
Boca Raton, FL 33431-4429
Phone (561) 288-0722

14701 S Military TRL
Delray Beach, FL 33484-8152
Phone (561) 865-4702

2181 N Federal Hwy
Boca Raton, FL 33431-7707
Phone (561) 387-3500

2502 N Federal Hwy
Lighthouse Point, FL 33064-6856
Phone (954) 943-3880

2606 S Dixie Hwy
West Palm Beach, FL 33401-7920
Phone (561) 804-4327

3470 NW 62ND Ave
Margate, FL 33063-8311
Phone (954) 972-6868

4570 Lantana Rd
Lake Worth, FL 33463-6908
Phone (561) 963-9881

601 Linton Blvd
Delray Beach, FL 33444-8149
Phone (561) 276-2270

6300 N Andrews Ave
Fort Lauderdale, FL 33309-2130
Phone (954) 492-2035

6699 W Boynton Beach Blvd
Boynton Beach, FL 33437-3527
Phone (561) 734-4210

9690 Glades Rd
Unit 425
Boca Raton, FL 33434-4015
Phone (561) 449-2322

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Aug 20, 2025 Accepting new patients
Douglas Rapid Rehab, PA Past Accepting new patients

Locations

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1063777431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 NW 12TH ST",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333135816",
            "telephone_number": "954-739-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 NW 12TH ST",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333135816",
            "telephone_number": "954-739-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "ANDREW",
        "middle_name": "EARL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

Verify at the official NPI Registry.