Individual provider Active NPI

Michelle Suzanne Reed

  • Family Nurse Practitioner
  • Tucker, GA
National Provider Identifier
1396521910
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN275641 Issued in GA
Practice address
4865 Lavista Rd Ste a
Tucker, GA 30084-4436
Phone
(770) 466-5902
Fax
(678) 666-1300
NPI assigned
Sep 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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 RN275641 GA Primary

Addresses

Primary practice location

4865 Lavista Rd Ste a
Tucker, GA 30084-4436

Mailing address

PO Box 117598
Atlanta, GA 30368-7598
Phone (770) 442-1911

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
I20230925001161 GA Practitioner - Nurse Practitioner 9335593391 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Medical Group, P.C.Group PAC ID 3577559673, 139 clinicians

Practice addresses (Care Compare)

4865 Lavista Rd
Suite a
Tucker, GA 30084-4436
Phone (770) 442-1911

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN275641GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urgent Care LLC CurrentSince Oct 23, 2025 Accepting new patients
Southeast Medical Group, P.C. CurrentSince Jun 5, 2022 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Sep 1, 2023 Accepting new patients
Physician First Health Network PastSince Jun 3, 2025 Accepting new patients

Locations

2620 Old Winder Hwy
Ste 300
Braselton, GA 30517
Phone (678) 821-2401

3425 Buford Dr
Ste 200
Buford, GA 30519
Phone (678) 546-0200

4700 Nelson Brogdon Blvd
Ste 250
Buford, GA 30518
Phone (678) 341-6380

590 Lanier Ave W
Fayetteville, GA 30214

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

4865 Lavista Rd
Ste A
Tucker, GA 30084
Phone (770) 270-0290

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1396521910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117598",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303687598",
            "telephone_number": "770-442-1911",
            "fax_number": "770-442-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4865 LAVISTA RD STE A",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844436",
            "telephone_number": "770-466-5902",
            "fax_number": "678-666-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "MICHELLE",
        "middle_name": "SUZANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN275641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

Verify at the official NPI Registry.