NPIMap

Individual provider Active NPI

Jonathan Edward Reimer, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Augusta, GA
National Provider Identifier
1194784744
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
20804 Issued in GA
Practice address
1224 Augusta West Pkwy
Augusta, GA 30909-6582
Phone
(706) 860-2986
Fax
(706) 863-8129
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 20804 GA Primary

Addresses

Primary practice location

1224 Augusta West Pkwy
Augusta, GA 30909-6582

Mailing address

4732 Canterbury LN
Evans, GA 30809-6034
Phone (706) 831-8421

Other identifiers 1

IdentifierTypeStateIssuer
00201920CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110830000429 GA Practitioner - Family Practice 5698945657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1224 Augusta W Pkwy
Augusta, GA 30909-6582
Phone (706) 832-0517

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20804GAMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan E Reimer MD,PC CurrentSince Sep 1, 1985 Accepting new patients
Pruitthealth - Richmond, LLC Past Accepting new patients
Windermere Health Center by Harborview, LLC Past Accepting new patients
The Place at Martinez, LLC Past Accepting new patients
Pruitthealth - Evans, LLC Past Accepting new patients

Locations

1224 Augusta West Pkwy
Augusta, GA 30909
Phone (706) 860-2986

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Place at MartinezAugusta, GA, CCN 115308 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2006
Jul 1, 2006
Regency SoutherncareAugusta, GA, CCN 111637 Hospice Contracted Managing Employee Oct 31, 2011

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1194784744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4732 CANTERBURY LN",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308096034",
            "telephone_number": "706-831-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 AUGUSTA WEST PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096582",
            "telephone_number": "706-860-2986",
            "fax_number": "706-863-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIMER",
        "first_name": "JONATHAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "20804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00201920C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.