Kenneth W Reeves, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

012129 Issued in GA

Practice address

3614 J Dewey Gray Cir
Ste a
Augusta, GA 30909-6602

Phone

(706) 863-5635

Fax

(706) 860-3462

NPI assigned

Oct 10, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093803686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 J DEWEY GRAY CIR",
            "address_2": "STE A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096602",
            "telephone_number": "706-863-5635",
            "fax_number": "706-860-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 J DEWEY GRAY CIR",
            "address_2": "STE A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096602",
            "telephone_number": "706-863-5635",
            "fax_number": "706-860-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "KENNETH",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "012129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lovelia W Reese, RN
• Nadia Reese, AGACNP-BC, RN
• Robert Alexander Reese
• Hawwa Reesha, MD
• John R T Reeves III, MD
• Marylyn Ann Reeves, RN
• Nickole Reeves
• Verneisha Cornelia Reeves, M.A., CF-SLP
• Lois Regan, NAET, CNHP, EDST
• Regency Hospice of Georgia, LLC

• Cardiovascular Disease Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.