Individual provider Active NPI

John Earl Reaves Jr., MD

  • Family Medicine Physician
  • Hoover, AL
National Provider Identifier
1265452379
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.15271 Issued in AL
Practice address
1870 Chace Dr Ste 160
Hoover, AL 35244-7104
Phone
(205) 733-7110
Fax
(205) 733-7859
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01069653A IN
Family Medicine Physician 207Q00000X 38828 NC
Family Medicine Physician 207Q00000X MD.15271 AL Primary

Addresses

Primary practice location

1870 Chace Dr Ste 160
Hoover, AL 35244-7104

Mailing address

1870 Chace Dr Ste 160
Hoover, AL 35244-7104
Phone (205) 733-7110

Other identifiers 2

IdentifierTypeStateIssuer
89138PAMedicaidNC
138PAOtherNCNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20191107003332 AL Practitioner - Family Practice 6709843089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vincentian Physician Services LLCGroup PAC ID 1557548161, 81 clinicians

Practice addresses (Care Compare)

1870 Chace Dr
Suite 160
Hoover, AL 35244-7104
Phone (205) 733-7110

Hospital & facility affiliations

  • Princeton Baptist Medical Center Hospital, Birmingham, AL, CCN 010103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01069653AINMDFamily Medicine Physician
38828NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vincentian Physician Services LLC Family Medicine CurrentSince Aug 26, 2019 Accepting new patients
St. Vincent'S Urgent Care LLC CurrentSince Sep 16, 2019 Accepting new patients
Peninsula Radiological Associates Limited Past Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

1944 28th Ave S
Homewood, AL 35209
Phone (205) 408-2366

1870 Chace Dr
Ste 160
Hoover, AL 35244
Phone (205) 733-7110

Interoperability endpoints

  • Direct secure messaging: john.reaves.1@9069.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1265452379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 CHACE DR STE 160",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352447104",
            "telephone_number": "205-733-7110",
            "fax_number": "205-733-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 CHACE DR STE 160",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352447104",
            "telephone_number": "205-733-7110",
            "fax_number": "205-733-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAVES",
        "first_name": "JOHN",
        "middle_name": "EARL",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01069653A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "38828",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.15271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89138PA",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBCBS",
            "identifier": "138PA",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.