Active NPI
Michael Elmo Reed, M.D.
- Family Medicine Physician
- Lexington, SC
National Provider Identifier
1457310690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 8068
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080682 | Medicaid | SC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100625000879 | SC | Practitioner - Family Practice | 9234043258 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8068 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premise Health of South Carolina Medical PC | Current | Accepting new patients | |
| Premise Health of South Carolina Medical PC | Current | Accepting new patients | |
| University Specialty Clinics - University Primary Care | Family Medicine | Past | Accepting new patients |
| Piedmont Physician Network LLC | Family Medicine | Past | 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
- 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.
-
- Clinic/Center
- Greenville, SC
- NPI 1588972426
-
- Multi-Specialty Clinic/Center
- Anderson, SC
- NPI 1952808974
-
- Family Medicine Physician
- Columbia, SC
- NPI 1578595856
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.