Randy R. Reese, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0034740 Issued in FL

Practice address

2907 Kerry Forest Pkwy
Tallahassee, FL 32309-6825

Phone

(850) 668-3380

Fax

(850) 668-3226

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Patients First Lake Ella Medical Center P a

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1164524039
  Medicare reassignment NPD

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1083654693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 KERRY FOREST PKWY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323096825",
            "telephone_number": "850-668-3380",
            "fax_number": "850-668-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 KERRY FOREST PKWY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323096825",
            "telephone_number": "850-668-3380",
            "fax_number": "850-668-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "RANDY",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0034740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD",
            "identifier": "080040384",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "077887700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Reed
• Sylvia Reed
• Kimberley Paige Reeder, M.S. BCBA
• Natalie Reeder, LCSW
• Kristi Marsha Reese, M.D.
• Rory Reese, R.D.H.
• Michael Allen Reetz Jr., PT
• Mark Daniel Reeves, PH.D.
• Refresh Canopy Cove Inc.
• Maria R Regala, ARNP

• Family Medicine Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.