Individual provider Active NPI

Michael Elmo Reed, M.D.

  • Family Medicine Physician
  • Lexington, SC
National Provider Identifier
1457310690
Registry record updated Jun 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8068 Issued in SC
Practice address
2480 Two Notch Rd
Lexington, SC 29072-7963
Phone
(803) 951-5871
Fax
(803) 951-5872
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8068 SC Primary

Addresses

Primary practice location

2480 Two Notch Rd
Lexington, SC 29072-7963

Mailing address

2480 Two Notch Rd
Lexington, SC 29072-7963
Phone (803) 951-5871

Other identifiers 1

IdentifierTypeStateIssuer
080682MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100625000879 SC Practitioner - Family Practice 9234043258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8068SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of South Carolina Medical PC CurrentSince Oct 21, 2015 Accepting new patients
Premise Health of South Carolina Medical PC CurrentSince Oct 21, 2015 Accepting new patients
University Specialty Clinics - University Primary Care Family Medicine Past Accepting new patients
Piedmont Physician Network LLC Family Medicine PastSince May 24, 2016 Accepting new patients

Locations

10 Parkway S
Greenville, SC 29615
Phone (864) 458-6933

2480 Two Notch Rd
Lexington, SC 29072
Phone (803) 951-5871

5500 Maryland Way
Ste 400
Brentwood, TN 37027
Phone (844) 404-7557

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1457310690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 TWO NOTCH RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727963",
            "telephone_number": "803-951-5871",
            "fax_number": "803-951-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 TWO NOTCH RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727963",
            "telephone_number": "803-951-5871",
            "fax_number": "803-951-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "MICHAEL",
        "middle_name": "ELMO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "8068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080682",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

Verify at the official NPI Registry.