Active NPI
Byron Paul Reese, MD
- Student in an Organized Health Care Education/Training Program
- Valdosta, GA
National Provider Identifier
1437358082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 17087
- Practice address
- 2501 N Patterson St
Valdosta, GA 31602-1785 - Phone
- (229) 457-1000
- NPI assigned
- Jul 13, 2007
- Last updated
- Apr 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIRO08160 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 17087 | GA | Primary |
Addresses
Primary practice location
2501 N Patterson St
Valdosta, GA 31602-1785
Mailing address
2501 N Patterson St
Valdosta, GA 31602-1785
Phone (229) 433-1000
Other practice location 1
111 Wellington Dr
Fitzgerald, GA 31750-8739
Phone (229) 457-3011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071102000325 | GA | Practitioner - Chiropractic | 4082701354 | Practice locations: Cordele, GA; Fitzgerald, GA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIRO08160 | GA | MD | Chiropractor |
| 17087 | GA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1437358082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 N PATTERSON ST",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021785",
"telephone_number": "229-433-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 N PATTERSON ST",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021785",
"telephone_number": "229-457-1000"
}
],
"practiceLocations": [
{
"address_1": "111 Wellington Dr",
"address_purpose": "LOCATION",
"city": "Fitzgerald",
"state": "GA",
"postal_code": "317508739",
"country_code": "US",
"telephone_number": "229-457-3011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REESE",
"first_name": "BYRON",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-13",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIRO08160",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "GA",
"license": "17087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
- Victoria Elizabeth Redding, CF-SLP
- Shilpa Narahari Reddy, MD
- Redirect Counseling Services Inc (Redirect Driver Improvement Services)
- Chateris Reed
- Tayler Gail Anne Reed
- Regina Katherine Wisenbaker (Wisenbaker Counseling Services, LLC)
- Caitlyn Christine Register, MSN, APRN, FNP-C
- Jerry Mitchell Register Jr., LCSW
- Kenneth Walker Register, D.C.
- Lindsey Register, M. ED, CF-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.