Active NPI
Brita S Reed, MD, PSYD
- Gynecology Physician
- Grovetown, GA
National Provider Identifier
1073603270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 042-0011202
- Practice address
- 527 Stirling Bridge Rd
Grovetown, GA 30813-5295 - Phone
- (802) 649-3800
- NPI assigned
- Oct 16, 2006
- Last updated
- Jan 13, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0810005006 | VA | |
| Psychologist | 103T00000X | PSY003856 | GA | |
| Gynecology Physician | 207VG0400X | 042-0011202 | VT | Primary |
Addresses
Primary practice location
527 Stirling Bridge Rd
Grovetown, GA 30813-5295
Mailing address
527 Stirling Bridge Rd
Grovetown, GA 30813-5295
Phone (802) 649-3800
Other names 1
- Brita Sardella
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2017 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY003856 | GA | MD | Psychologist |
| 0810005006 | VA | MD | Psychologist |
| 230979 | MA | MD | Clinical Social Worker |
| 042-0011202 | VT | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maybe Baby LLC | Current | Accepting new patients | |
| Boston University Obstetrics and Gynecology Foundation, Inc. | Past | Accepting new patients | |
| Psychological Diagnostic Center, LLC | Past | Accepting new patients |
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.
-
- Adult Mental Health Clinic/Center
- Norwich, VT
- NPI 1669214615
-
- Clinical Psychologist
- Atlanta, GA
- NPI 1184070575
-
- Obstetrics & Gynecology Physician
- Boston, MA
- NPI 1063459568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1073603270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 STIRLING BRIDGE RD",
"city": "GROVETOWN",
"state": "GA",
"postal_code": "308135295",
"telephone_number": "802-649-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 STIRLING BRIDGE RD",
"city": "GROVETOWN",
"state": "GA",
"postal_code": "308135295",
"telephone_number": "802-649-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "BRITA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD, PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0810005006",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY003856",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "VT",
"license": "042-0011202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRITA",
"last_name": "SARDELLA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grovetown, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.