Milton Renard Reed, BOCO,BOCPD,LPO

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

000084 Issued in GA

Practice address

1810 Mulkey Rd Ste 202
Austell, GA 30106-1150

Phone

(678) 738-7380

Fax

(678) 738-7382

NPI assigned

Aug 28, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1528216892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 MULKEY RD STE 202",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061150",
            "telephone_number": "678-738-7380",
            "fax_number": "678-738-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 MULKEY RD STE 202",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061150",
            "telephone_number": "678-738-7380",
            "fax_number": "678-738-7382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1485 Highway 34 E",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302652126",
            "country_code": "US",
            "telephone_number": "186-628-6872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "MILTON",
        "middle_name": "RENARD",
        "name_prefix": "Mr.",
        "credential": "BOCO,BOCPD,LPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-28",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "GA",
            "license": "000084",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "GA",
            "license": "000084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA LICENSED ORTHOTIST PROSTHETIST",
            "identifier": "000084",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• William Redwood
• Yasmeen Aiyana Reed
• David A Reeder, MD
• Laquisha Reese
• Billy Albra Reid Jr., PHARM.D.,MBA
• Reliable Pharmacy

• Orthotist in Austell, GA
• Providers in Austell, GA by specialty
• Orthotist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.