Active NPI
John Chip Hamilton Reed III, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Roswell, GA
National Provider Identifier
1194706531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 024719
- Practice address
- 1475 Holcomb Bridge Rd
Suite 129
Roswell, GA 30076-2139 - Phone
- (678) 325-2250
- Fax
- (678) 325-2261
- NPI assigned
- Nov 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 024719 | GA | Primary |
Addresses
Primary practice location
1475 Holcomb Bridge Rd
Suite 129
Roswell, GA 30076-2139
Mailing address
1475 Holcomb Bridge Road
Suite 129
Roswell, GA 30076
Phone (678) 325-2250
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024251 | Other | PHCS | |
| 4068071 | Other | AETNA HEALTHCARE | |
| 78718509 | Other | UNITED HEALTHCARE | |
| 21168982233 | Other | BEECH STREET | |
| 93464 | Other | FIRST HEALTH | |
| 52237911004 | Other | BCBS | |
| P00134161 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050830000137 | GA | Practitioner - Endocrinology | 8628007283 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024719 | GA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Endocrine & Diabetes, P.C. | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
Locations
1475 Holcomb Bridge Rd
Ste 129
Roswell, GA 30076
Phone (678) 325-2250
Organizations & group practices 1
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Roswell, GA
- NPI 1598746059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458172800000",
"number": "1194706531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 HOLCOMB BRIDGE ROAD",
"address_2": "SUITE 129",
"city": "ROSWELL",
"state": "GA",
"postal_code": "30076",
"telephone_number": "678-325-2250",
"fax_number": "678-325-2261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 HOLCOMB BRIDGE RD",
"address_2": "SUITE 129",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300762139",
"telephone_number": "678-325-2250",
"fax_number": "678-325-2261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "JOHN CHIP",
"middle_name": "HAMILTON",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-11",
"last_updated": "2016-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "GA",
"license": "024719",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "024251",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTHCARE",
"identifier": "4068071",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "78718509",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECH STREET",
"identifier": "21168982233",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "93464",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "52237911004",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00134161",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.
- 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.