Individual provider Active NPI

Elizabeth A Reece, MD

  • Pediatrics Physician
  • Saint Marys, GA
National Provider Identifier
1255391165
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
82181 Issued in GA
Practice address
2040 Dan Proctor Dr Ste 140
Saint Marys, GA 31558-3812
Phone
(912) 673-8000
Fax
(912) 673-8003
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 82181 GA Primary

Addresses

Primary practice location

2040 Dan Proctor Dr Ste 140
Saint Marys, GA 31558-3812

Mailing address

2040 Dan Proctor Dr Ste 140
Saint Marys, GA 31558-3812
Phone (912) 673-8000

Other identifiers 1

IdentifierTypeStateIssuer
003216799AMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190422001647 GA Practitioner - Pediatric Medicine 8224924972 Reassigns benefits to 1 organization
Practice locations: Saint Marys, GA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cooperative Healthcare Services Inc Pediatrics CurrentSince Feb 12, 2019 Accepting new patients
Medlink Georgia Inc Past Accepting new patients
Major Hospital Past Accepting new patients
Health Services Corporation of Southeastern Indiana Pediatrics PastSince Feb 1, 2014 Accepting new patients

Locations

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

2040 Dan Proctor Dr
Ste 120
Saint Marys, GA 31558
Phone (912) 540-6760

2040 Dan Proctor Dr
Ste 140
Saint Marys, GA 31558
Phone (912) 576-4339

Interoperability endpoints

  • Direct secure messaging: elizabeth.reece@mgi.eclinicaldirectplus.com
  • Direct secure messaging: elizabeth.reece.1@9864.direct.athenahealth.com

Organizations & group practices 4

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1255391165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 DAN PROCTOR DR STE 140",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583812",
            "telephone_number": "912-673-8000",
            "fax_number": "912-673-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 DAN PROCTOR DR STE 140",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583812",
            "telephone_number": "912-673-8000",
            "fax_number": "912-673-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REECE",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "82181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003216799A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, GA

Sources for this page

Verify at the official NPI Registry.