Active NPI
John Earl Reaves Jr., MD
- Family Medicine Physician
- Hoover, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD.15271
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89138PA | Medicaid | NC | |
| 138PA | Other | NC | NCBCBS |
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
Enrollment records 1
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
Practice addresses (Care Compare)
1870 Chace Dr
Suite 160
Hoover, AL 35244-7104
Phone (205) 733-7110
Hospital & facility affiliations
- Princeton Baptist Medical Center
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01069653A | IN | MD | Family Medicine Physician |
| 38828 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vincentian Physician Services LLC | Family Medicine | Current | Accepting new patients |
| St. Vincent'S Urgent Care LLC | Current | 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
- 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.
-
- Family Medicine Physician
- Birmingham, AL
- NPI 1851698310
-
- Urgent Care Clinic/Center
- Homewood, AL
- NPI 1346605821
-
- Diagnostic Radiology Physician
- Newport News, VA
- NPI 1114030426
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1164876546
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.