Individual provider Active NPI

Savannah Reeves, PHYSICAL THERAPIST

  • Physical Therapist
  • Griffin, GA
National Provider Identifier
1306998778
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT003098 Issued in GA
Practice address
747 S 8TH St Ste D
Griffin, GA 30224-4884
Phone
(770) 229-6498
Fax
(770) 229-6598
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT003098 GA Primary

Addresses

Primary practice location

747 S 8TH St Ste D
Griffin, GA 30224-4884

Mailing address

1050 McDonough Rd
Jackson, GA 30233-1524
Phone (770) 775-7861

Other practice location 1

1050 McDonough Rd
Jackson, GA 30233-1524
Phone (770) 775-7861 ext. 206

Other identifiers 2

IdentifierTypeStateIssuer
627792952AMedicaidGA
NONEOtherGANONE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address savannah.reeves@wellstar.org Direct

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

LicenseStateTypeSpecialty
PT003098GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Spalding Regional Hospital, Inc PastSince Jan 12, 2020 Accepting new patients

Organizations & group practices 1

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1306998778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 MCDONOUGH RD",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302331524",
            "telephone_number": "770-775-7861",
            "fax_number": "770-775-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 S 8TH ST STE D",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244884",
            "telephone_number": "770-229-6498",
            "fax_number": "770-229-6598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 McDonough Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "GA",
            "postal_code": "302331524",
            "country_code": "US",
            "telephone_number": "770-775-7861 x206",
            "fax_number": "770-775-6263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REEVES",
        "first_name": "SAVANNAH",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT003098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "627792952A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "savannah.reeves@wellstar.org",
            "affiliation": "N",
            "endpointDescription": "Busuiness email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "747 S 8th St Ste D",
            "city": "Griffin",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302244884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.