Active NPI
Terrance Roland Reeves, M.D.
- Addiction Medicine (Family Medicine) Physician
- Navarre, FL
National Provider Identifier
1285662635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- ME67749
- Practice address
- 7552 Navarre Pkwy Unit 21
Navarre, FL 32566-7308 - Phone
- (850) 837-8005
- Fax
- (850) 837-4352
- NPI assigned
- Jun 28, 2006
- Last updated
- Mar 1, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | ME67749 | FL | Primary |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | ME67749 | FL |
Addresses
Primary practice location
7552 Navarre Pkwy Unit 21
Navarre, FL 32566-7308
Mailing address
7552 Navarre Pkwy Unit 21
Navarre, FL 32566-7308
Phone (850) 837-8005
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269452200 | Medicaid | FL | |
| 27484 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Oct 1, 2018 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Tennessee Vascular Center, PLLC | Past | Accepting new patients | |
| Marcello a Borzatta MD PA | Past | Accepting new patients | |
| Ut Surgical Associates, PLLC | Past | Accepting new patients | |
| Rock Star Rep Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Vascular Surgery Physician
- Crestview, FL
- NPI 1609090158
-
- Vascular Surgery Physician
- Morristown, TN
- NPI 1508879719
-
- Surgery Physician
- Knoxville, TN
- NPI 1801965488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1285662635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7552 NAVARRE PKWY UNIT 21",
"city": "NAVARRE",
"state": "FL",
"postal_code": "325667308",
"telephone_number": "850-837-8005",
"fax_number": "850-837-4352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7552 NAVARRE PKWY UNIT 21",
"city": "NAVARRE",
"state": "FL",
"postal_code": "325667308",
"telephone_number": "850-837-8005",
"fax_number": "850-837-4352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVES",
"first_name": "TERRANCE",
"middle_name": "ROLAND",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "FL",
"license": "ME67749",
"primary": true
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "FL",
"license": "ME67749",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269452200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "27484",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Navarre, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.