Kirby Brown Reinecke, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5775 Issued in GA

Practice address

120 Oakside CT
Suite H
Canton, GA 30114-2471

Phone

(678) 880-8770

Fax

(770) 213-4418

NPI assigned

Feb 9, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: kirby.reinecke.1@2435.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/2435/brand/1/csg/1/fhir/r4

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.

• Georgia Mountain Endocrinology Corporation

  • Endocrinology, Diabetes & Metabolism Physician
  • Canton, GA
  • NPI 1508188558
  Medicare reassignment
• Five Star Diagnostics LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Maylene, AL
  • NPI 1558894576
  NPD (past)

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1093047474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 OAKSIDE CT",
            "address_2": "SUITE H",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142471",
            "telephone_number": "678-880-8770",
            "fax_number": "770-213-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OAKSIDE CT",
            "address_2": "SUITE H",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142471",
            "telephone_number": "678-880-8770",
            "fax_number": "770-213-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINECKE",
        "first_name": "KIRBY",
        "middle_name": "BROWN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-09",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "5775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abhinav Venkat Reddy, MD
• Rediclinic US, LLC
• Tonya Renee Reece, OTRL
• Julia Bedingfield Reid, PHARM.D.
• Justin Reiman, DC
• Renew Teletherapy LLC
• Renewal Wound Care Georgia LLC
• Restorative Pelvis Physical Therapy LLC
• Resurgens, LLC
• Ada Julia Reyes, DDS

• Medical Physician Assistant in Canton, GA
• Providers in Canton, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.