Individual provider Active NPI

Erin Marie Reiter, PA

  • Physician Assistant
  • Watkinsville, GA
National Provider Identifier
1538488168
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9973 Issued in GA
Practice address
1305 Jennings Mill Rd Ste 110
Watkinsville, GA 30677-7241
Phone
(706) 613-5880
NPI assigned
May 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50-00-3049 OH
Physician Assistant 363A00000X 9973 GA Primary

Addresses

Primary practice location

1305 Jennings Mill Rd Ste 110
Watkinsville, GA 30677-7241

Mailing address

3205 Woodman Dr
Dayton, OH 45420-1143
Phone (937) 298-4417

Other practice location 1

3205 Woodman Dr
Dayton, OH 45420-1143
Phone (937) 298-4417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101207000744 OH Practitioner - Physician Assistant 4688861362
I20210303000773 GA Practitioner - Physician Assistant 4688861362 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Athens Specialty Care LLCGroup PAC ID 8820349772, 116 clinicians
Restorathens, LLCGroup PAC ID 2961800719, 4 clinicians

Practice addresses (Care Compare)

1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 475-7000

1305 Jennings Mill Rd
Watkinsville, GA 30677-7238

2151 W Spring St
Monroe, GA 30655-3202
Phone (770) 267-8461

340 Exchange Blvd
Bethlehem, GA 30620-1759
Phone (678) 963-7171

394 S Milledge Ave
Athens, GA 30605-5626
Phone (706) 395-6451

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Dayton Heart Center, Inc. Past Accepting new patients

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1538488168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 WOODMAN DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454201143",
            "telephone_number": "937-298-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 JENNINGS MILL RD STE 110",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777241",
            "telephone_number": "706-613-5880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3205 Woodman Dr",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454201143",
            "country_code": "US",
            "telephone_number": "937-298-4417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REITER",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-21",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50-00-3049",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

Verify at the official NPI Registry.