Individual provider Active NPI

Reba A Calhoun, FNP-BC

  • Family Nurse Practitioner
  • Dublin, GA
National Provider Identifier
1366264277
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN164853 Issued in GA
Practice address
107 Fairview Park Dr
Dublin, GA 31021-2501
Phone
(478) 272-3446
Fax
(478) 864-1288
NPI assigned
Oct 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN164853 GA Primary

Addresses

Primary practice location

107 Fairview Park Dr
Dublin, GA 31021-2501

Mailing address

PO Box 317
Wrightsville, GA 31096-0317
Phone (478) 864-3448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241230001394 GA Practitioner - Nurse Practitioner 7517494776 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physicians Staffing SolutionsGroup PAC ID 8123266400, 10 clinicians

Practice addresses (Care Compare)

105 Fairview Park Dr
Dublin, GA 31021-2501
Phone (478) 272-3209

200 Industrail Blvd
Dublin, GA 31021-2981
Phone (201) 821-7900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Staffing Solutions CurrentSince Jun 1, 2025 Accepting new patients
Community Health Care Systems, Inc. CurrentSince Aug 8, 2024 Accepting new patients
Community Health Care Systems, Inc CurrentSince Aug 8, 2024 Accepting new patients

Locations

107 Fairview Park Dr
Dublin, GA 31021
Phone (478) 272-3446

105 Fairview Park Dr
Dublin, GA 31021
Phone (478) 274-1040

2251 W Elm St
Wrightsville, GA 31096
Phone (478) 864-2600

Interoperability endpoints

  • Direct secure messaging: alison.calhoun.1@19776.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": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1366264277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 317",
            "city": "WRIGHTSVILLE",
            "state": "GA",
            "postal_code": "310960317",
            "telephone_number": "478-864-3448",
            "fax_number": "478-864-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 FAIRVIEW PARK DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212501",
            "telephone_number": "478-272-3446",
            "fax_number": "478-864-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "REBA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN164853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

Verify at the official NPI Registry.