Active NPI
Reginald Strother, M.D.
- Interventional Pain Medicine Physician
- Athens, GA
National Provider Identifier
1548241615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 044597
- Practice address
- 1620 Prince Ave
Athens, GA 30606-6008 - Phone
- (706) 549-8114
- Fax
- (706) 549-0151
- NPI assigned
- Nov 7, 2005
- Last updated
- Feb 22, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 044597 | GA | Primary |
Addresses
Primary practice location
1620 Prince Ave
Athens, GA 30606-6008
Mailing address
PO Box 80883
Athens, GA 30608-0883
Phone (706) 549-8114
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 469039 | Other | GA | WELLCARE |
| 782364 | Other | GA | BLUE CROSS |
| 123005200 | Other | GA | US DEPT. OF LABOR W/C |
| 000853036 | Medicaid | GA | |
| P00393494 | Other | GA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Procedure Center LLC | Past | Accepting new patients |
Interoperability endpoints
- reginaldstrother@apr.allscriptsdirect.net
Organizations & group practices 1
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.
-
- Ambulatory Surgical Clinic/Center
- Athens, GA
- NPI 1063507630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1548241615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80883",
"city": "ATHENS",
"state": "GA",
"postal_code": "306080883",
"telephone_number": "706-549-8114",
"fax_number": "706-549-0151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 PRINCE AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306066008",
"telephone_number": "706-549-8114",
"fax_number": "706-549-0151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROTHER",
"first_name": "REGINALD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "GA",
"license": "044597",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "469039",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "782364",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT. OF LABOR W/C",
"identifier": "123005200",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000853036",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00393494",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.