Reschly Family Medicine PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RESCHLY FAMILY MEDICINE PA

Practice address

821 N Atlantic Ave
Southport, NC 28461-3531

Phone

(910) 457-5891

Fax

(910) 457-0228

NPI assigned

Aug 30, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Keith Christian Reschly, MDNPI 1598762114

Title

President

Phone

(910) 457-5891

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith Christian Reschly, M.D.

  • Family Medicine Physician
  • Bolivia, NC
  • NPI 1598762114
  NPD (past) Authorized official
• Deborah Coggins Varnam, FNP

  • Family Nurse Practitioner
  • Shallotte, NC
  • NPI 1922075910
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093825044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 N ATLANTIC AVE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613531",
            "telephone_number": "910-457-5891",
            "fax_number": "910-457-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N ATLANTIC AVE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613531",
            "telephone_number": "910-457-5891",
            "fax_number": "910-457-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESCHLY FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RESCHLY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-457-5891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890268P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter N Purcell, MD
• Courtney Purnell
• Logan Raichle
• Giacomo Raimondi, DPT
• Rebecca H. Brown, MD, PA
• Kaitlyn Reti, D.O.
• Reynolds Hand in Your Respite Care
• Amanda Dewitt Reynolds, FNP-BC, PMHNP-BC
• Barbara Victoria Reynolds, RN REGISTERED NURSE
• Riccobene & Associates I, DDS, P.a. (Riccobene Associates Family Dentistry - Southport Crossings)

• Family Medicine Physician in Southport, NC
• Providers in Southport, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.