Individual provider Active NPI

Brita S Reed, MD, PSYD

  • Gynecology Physician
  • Grovetown, GA
National Provider Identifier
1073603270
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
042-0011202 Issued in VT
Practice address
527 Stirling Bridge Rd
Grovetown, GA 30813-5295
Phone
(802) 649-3800
NPI assigned
Oct 16, 2006
Last updated
Jan 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
PSY003856GAMDPsychologist
0810005006VAMDPsychologist
230979MAMDClinical Social Worker
042-0011202VTMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.