Individual provider Active NPI

Kristie Marie Reeves, AU.D. CCC-A

  • Audiologist
  • Palm Harbor, FL
National Provider Identifier
1144272147
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY995 Issued in FL
Practice address
2445 Tampa Rd Ste H
Palm Harbor, FL 34683-5849
Phone
(800) 277-1182
Fax
(813) 265-3355
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY995 FL Primary
Audiologist 231H00000X AUD004317 GA
Audiologist 231H00000X 2025017545 MO
Audiologist 231H00000X 30003853 NC
Audiologist 231H00000X 8055 SC

Addresses

Primary practice location

2445 Tampa Rd Ste H
Palm Harbor, FL 34683-5849

Mailing address

6615 Gunn Hwy
Tampa, FL 33625-4056
Phone (813) 265-2255

Other practice location 1

1135 Pasadena Ave S Ste 140
South Pasadena, FL 33707-2854
Phone (800) 277-1182

Other practice location 2

20 Roper Corners Cir Ste B
Greenville, SC 29615-4889
Phone (864) 999-0261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220509001575 GA Practitioner - Qualified Audiologist 8921166125 Reassigns benefits to 2 organizations
I20250612000324 NC Practitioner - Qualified Audiologist 8921166125 Reassigns benefits to 1 organization
I20260625004013 SC Practitioner - Qualified Audiologist 8921166125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnolia ENT, LLCGroup PAC ID 3779021118, 12 clinicians

Practice addresses (Care Compare)

1000 Commerce Dr
Suite 200
Peachtree City, GA 30269-3520
Phone (470) 489-0090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kinston Head and Neck Physicians and Surgeons, P.a. CurrentSince May 5, 2025 Accepting new patients
Ear Consultants of Georgia CurrentSince May 11, 2025 Accepting new patients
Magnolia ENT, LLC CurrentSince Feb 15, 2025 Accepting new patients
ENT of Georgia, LLC Past Accepting new patients
Audiology Distribution, LLC Past Accepting new patients

Locations

1015 Lafayette Pkwy
Ste 130
Lagrange, GA 30241
Phone (470) 489-0090

1595 Highway 34 E
Newnan, GA 30265
Phone (678) 206-2202

1595 Highway 34 E
Ste A
Newnan, GA 30265

1000 Commerce Dr
Ste 200
Peachtree Cty, GA 30269
Phone (470) 489-0090

5881 Glenridge Dr
Ste 230
Sandy Springs, GA 30328
Phone (404) 943-0170

1365 Rock Quarry Rd
Ste 300
Stockbridge, GA 30281
Phone (470) 489-0090

701 Doctors Dr
Ste K
Kinston, NC 28501
Phone (252) 523-0687

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/11398844

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1144272147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254056",
            "telephone_number": "813-265-2255",
            "fax_number": "813-265-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 TAMPA RD STE H",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346835849",
            "telephone_number": "800-277-1182",
            "fax_number": "813-265-3355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1135 Pasadena Ave S Ste 140",
            "address_purpose": "LOCATION",
            "city": "South Pasadena",
            "state": "FL",
            "postal_code": "337072854",
            "country_code": "US",
            "telephone_number": "800-277-1182",
            "fax_number": "813-265-3355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Roper Corners Cir Ste B",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154889",
            "country_code": "US",
            "telephone_number": "864-999-0261",
            "fax_number": "864-568-3241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REEVES",
        "first_name": "KRISTIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "AU.D. CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY995",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD004317",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2025017545",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "30003853",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "8055",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.