Organization Active NPI

Myra Reed MD PA

  • Internal Medicine Physician
  • Panama City Beach, FL
National Provider Identifier
1083706899
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME57769 Issued in FL
Legal business name
MYRA REED MD PA
Practice address
1814 Thomas Drive
Panama City Beach, FL 32408
Phone
(850) 249-5000
Fax
(850) 249-5008
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Dr. Myra A Reed, M.D.NPI 1215996434
Title
President
Phone
(850) 249-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME57769 FL Primary

Addresses

Primary practice location

1814 Thomas Drive
Panama City Beach, FL 32408

Mailing address

PO Box 2527
Panama City, FL 32402
Phone (850) 249-5000

Other identifiers 1

IdentifierTypeStateIssuer
72221OtherFLBCBS OF FLORIDA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070314000338 FL Part B Supplier - Clinic/Group Practice 5698878593 Receives reassigned benefits from 1 practitioner
Practice locations: Panama City Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0991353Myra Reed MD PA1814 Thomas Drive, Panama City, FL 32408Certificate of waiverSep 17, 2027

National Provider Directory

National Provider Directory

Locations

1814 Navy Blvd
Panama City, FL 32408

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1083706899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2527",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32402",
            "telephone_number": "850-249-5000",
            "fax_number": "850-249-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 THOMAS DRIVE",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "32408",
            "telephone_number": "850-249-5000",
            "fax_number": "850-249-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRA REED MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "MYRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-249-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME57769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "72221",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.