Organization Active NPI

Reed Family Medicine, PSC

  • Family Medicine Physician
  • Pikeville, KY
National Provider Identifier
1487874418
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
REED FAMILY MEDICINE, PSC
Practice address
1904 S Mayo TRL
Pikeville, KY 41501-2214
Phone
(606) 437-3456
Fax
(606) 437-1551
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Authorized official

Name
Dr. Mark Estill Reed, M.D.NPI 1992768261
Title
President Medical Doctor
Phone
(606) 437-3456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 38929 KY
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

1904 S Mayo TRL
Pikeville, KY 41501-2214

Mailing address

1904 S Mayo TRL
Pikeville, KY 41501-2214
Phone (606) 437-3456

Other identifiers 2

IdentifierTypeStateIssuer
000000387167OtherKYANTHEM
64104466MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060227000044 KY Part B Supplier - Clinic/Group Practice 2264448489 Receives reassigned benefits from 2 practitioners
Practice locations: Pikeville, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D1053097Reed Family Medicine1904 South Mayo Trail, Pikeville, KY 41501Certificate of waiverApr 12, 2028

National Provider Directory

National Provider Directory

Locations

1904 S Mayo Trl
Pikeville, KY 41501
Phone (606) 437-3456

387 Town Mountain Rd
Ste 1
Pikeville, KY 41501
Phone (606) 437-3456

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1487874418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 S MAYO TRL",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415012214",
            "telephone_number": "606-437-3456",
            "fax_number": "606-437-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 S MAYO TRL",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415012214",
            "telephone_number": "606-437-3456",
            "fax_number": "606-437-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REED FAMILY MEDICINE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ESTILL",
        "authorized_official_title_or_position": "PRESIDENT MEDICAL DOCTOR",
        "authorized_official_telephone_number": "606-437-3456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "38929",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000387167",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64104466",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.