Active NPI
Reginald O Fletcher Sr.
- Transportation Broker
- Griffin, GA
National Provider Identifier
1275319998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- License
- 050200552
- Practice address
- 1712 Wesminster Cir
Griffin, GA 30223-7127 - Phone
- (404) 786-4222
- NPI assigned
- Sep 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Transportation Broker | 347E00000X | 050200552 | GA | Primary |
Addresses
Primary practice location
1712 Wesminster Cir
Griffin, GA 30223-7127
Mailing address
1712 Wesminster Cir
Griffin, GA 30223-7127
Phone (404) 786-4222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050200552 | GA | MD | Transportation Broker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1275319998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1712 WESMINSTER CIR",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302237127",
"telephone_number": "404-786-4222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1712 WESMINSTER CIR",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302237127",
"telephone_number": "404-786-4222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "REGINALD",
"middle_name": "O",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-07",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": "GA",
"license": "050200552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.