Active NPI
Ronald S. Reagin,D.P.M.
- Foot Surgery Podiatrist
- Baxley, GA
National Provider Identifier
1366627887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 000613
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Podiatrist
- Baxley, GA
- NPI 1104801265
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.