Jessica Ann Reid, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5339 Issued in TN

Practice address

10120 Sr 56
Coalmont, TN 37313-2505

Phone

(423) 779-4002

NPI assigned

Jan 20, 2023

Last updated

May 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.reid.p1@direct.orhc.nextgenshare.com

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.

• Ocoee Regional Health Corporation

  dba Grundy County Primary Care Center

  • Federally Qualified Health Center (FQHC)
  • Coalmont, TN
  • NPI 1902010770
  Medicare reassignment NPD
• Ocoee Regional Health Corporation

  dba Rhea County Middle School

  • Federally Qualified Health Center (FQHC)
  • Evensville, TN
  • NPI 1558931915
  NPD
• Ocoee Regional Health Corporation

  dba Cleveland Family Health Care Center

  • Federally Qualified Health Center (FQHC)
  • Cleveland, TN
  • NPI 1245442169
  NPD (past)

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1487369732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561",
            "city": "BEERSHEBA SPRINGS",
            "state": "TN",
            "postal_code": "373050561",
            "telephone_number": "423-987-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 SR 56",
            "city": "COALMONT",
            "state": "TN",
            "postal_code": "373132505",
            "telephone_number": "423-779-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grundy Emergency Medical Service Inc
• Jessica Joslyn, NP
• Patricia Anne Mitchum, M.D.
• Ocoee Regional Health Corporation (Grundy County Primary Care Center)
• Palmer Drug, LLC (Rock Creek Pharmacy)
• Ashley Ann Sartain, FNP-C

• Physician Assistant in Coalmont, TN
• Providers in Coalmont, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.

Verify at the official NPI Registry.