Graham Mack Reid, M.D.

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

C-5446 Issued in AR

Practice address

10816 Executive Center Dr
Suite 101
Little Rock, AR 72211-4384

Phone

(501) 221-3331

Fax

(501) 221-3339

NPI assigned

Jan 23, 2006

Last updated

Nov 18, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Graham M Reid MD PA

  • Psychiatry Physician
  • Little Rock, AR
  • NPI 1497863674
  Authorized official Same address or phone
• Thomas C. Stinnett , M.D.,P.a.

  • Psychologist
  • Little Rock, AR
  • NPI 1316072184
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1548230550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10816 EXECUTIVE CENTER DR",
            "address_2": "SUITE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114384",
            "telephone_number": "501-221-3331",
            "fax_number": "501-221-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10816 EXECUTIVE CENTER DR",
            "address_2": "SUITE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114384",
            "telephone_number": "501-221-3331",
            "fax_number": "501-221-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "GRAHAM",
        "middle_name": "MACK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "AR",
            "license": "C-5446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105171001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Reichl, DPT
• Reid Family Dentistry PLLC
• Charlotte Marie Reid, LMSW
• Daniel Reid
• Gene Watkins Reid, M.D.
• Jonathan Reid
• Jonathan W Reid, M.D.
• Nelson V Reid, O.D.
• Sarah Katie Reid, M.D.
• Shirley E Reid, D.D.S.

• Geriatric Psychiatry Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Geriatric Psychiatry Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.