Organization Active NPI

Ronald S. Reagin,D.P.M.

  • Foot Surgery Podiatrist
  • Baxley, GA
National Provider Identifier
1366627887
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
000613 Issued in GA
Legal business name
RONALD S. REAGIN,D.P.M.
Practice address
656 S Main St Ste a
Baxley, GA 31513-0127
Phone
(912) 367-5281
Fax
(912) 367-5240
NPI assigned
Jan 3, 2008
Last updated
Jan 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Dr. Ronald Stephen Reagin, D.P.M.NPI 1104801265
Title
Sole Proprietor
Phone
(912) 367-5281

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 000613 GA Primary

Addresses

Primary practice location

656 S Main St Ste a
Baxley, GA 31513-0127

Mailing address

PO Box 708
Baxley, GA 31515-0708
Phone (912) 367-5281

National Provider Directory

National Provider Directory

Locations

656 S Main St
Ste A
Baxley, GA 31513
Phone (912) 367-5281

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1366627887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315150708",
            "telephone_number": "912-367-5281",
            "fax_number": "912-367-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 S MAIN ST STE A",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130127",
            "telephone_number": "912-367-5281",
            "fax_number": "912-367-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD S. REAGIN,D.P.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "REAGIN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "912-367-5281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "GA",
            "license": "000613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxley, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.