Individual provider Active NPI

Alex Reese, CSFA

  • Surgical Assistant
  • Macon, GA
National Provider Identifier
1417818758
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Practice address
1902 Forsyth St
Macon, GA 31201-8132
Phone
(478) 250-9785
Fax
(478) 202-9505
NPI assigned
Nov 18, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 246ZC0007X Primary

Addresses

Primary practice location

1902 Forsyth St
Macon, GA 31201-8132

Mailing address

1902 Forsyth St
Macon, GA 31201-8132
Phone (478) 250-9785

Other practice location 1

247 S Main St
Reidsville, GA 30453-4605
Phone (912) 557-1000

Other practice location 2

400 Charter Blvd
Macon, GA 31210-4831
Phone (478) 757-8200

Other practice location 3

350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 765-7000

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Vascular, LLC Single Specialty CurrentSince Nov 24, 2025 Accepting new patients

Locations

1902 Forsyth St
Macon, GA 31201
Phone (478) 250-9785

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1417818758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 FORSYTH ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018132",
            "telephone_number": "478-250-9785",
            "fax_number": "478-202-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 FORSYTH ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018132",
            "telephone_number": "478-250-9785",
            "fax_number": "478-202-9505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "247 S Main St",
            "address_purpose": "LOCATION",
            "city": "Reidsville",
            "state": "GA",
            "postal_code": "304534605",
            "country_code": "US",
            "telephone_number": "912-557-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Charter Blvd",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312104831",
            "country_code": "US",
            "telephone_number": "478-757-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312173838",
            "country_code": "US",
            "telephone_number": "478-765-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REESE",
        "first_name": "ALEX",
        "name_prefix": "Mr.",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.