Joseph K Reid, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0844 Issued in TN

Practice address

2244 Boones Creek Road
Gray, TN 37615-1417

Phone

(423) 753-4000

Fax

(423) 753-4004

NPI assigned

Jun 15, 2005

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

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.

Opted out of Medicare

Yes, effective Jan 1, 2023 through Jan 1, 2027

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Mountain Region Speech and Hearing CenterGroup PAC ID 8628003589, 17 clinicians

Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Mountain Region Speech and Hearing Center

  • Speech-Language Pathologist
  • Kingsport, TN
  • NPI 1861427783
  Care Compare group
• Emergency Care Physicians, Inc.

  • Emergency Medicine Physician
  • Johnson City, TN
  • NPI 1669410304
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246492800000",
    "number": "1114922374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 BOONES CREEK ROAD",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376151417",
            "telephone_number": "423-753-4000",
            "fax_number": "423-753-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 BOONES CREEK ROAD",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376151417",
            "telephone_number": "423-753-4000",
            "fax_number": "423-753-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "JOSEPH",
        "middle_name": "K",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2009-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "0844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Kay Pennypacker, FNP C
• Emily Dawn Peters, L.M.T.
• Premier Wound Care of Tennessee, PC
• Providence Pediatrics, LLC
• William Machenzie Rasnick, PHARMD
• Billie Reilly, PHARM.D.
• Renovus Medical Spa
• Connie Marion Reynolds, APRN BC
• Lindsey Rogers, PT
• Jordan Matthew Snead

• Physician Assistant in Gray, TN
• Providers in Gray, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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; Opt Out Affidavits.
• 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.