NPIMap

Individual provider Active NPI

Carrie Ann Reid, PA-C

  • Physician Assistant
  • Dahlonega, GA
National Provider Identifier
1619165388
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
005195 Issued in GA
Practice address
59 Tipton Dr
Dahlonega, GA 30533-1603
Phone
(706) 864-4012
Fax
(706) 864-4029
NPI assigned
Oct 9, 2007
Last updated
Oct 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 005195 GA Primary

Addresses

Primary practice location

59 Tipton Dr
Dahlonega, GA 30533-1603

Mailing address

59 Tipton Dr
Dahlonega, GA 30533-1603
Phone (706) 864-4012

Other identifiers 1

IdentifierTypeStateIssuer
005195OtherGASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080129000204 GA Practitioner - Physician Assistant 8426130527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

501 Redmond NWRD
Rome, GA 30165-1415
Phone (706) 291-0291

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.35 of 100Reported as group
Quality
92.65
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5195GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gordon Emergency Physicians, LLC CurrentSince Jul 1, 2016 Accepting new patients
Emergency Coverage, LLC CurrentSince Jan 1, 2026 Accepting new patients
Allergy and ENT of Ga Past Accepting new patients
Cartersville Emergency Physicians, LLC Past Accepting new patients
Georgia Heart Institute LLC PastSince Jan 8, 2018 Accepting new patients
Southern Health Corporation of Dahlonega, Inc Past Accepting new patients

Locations

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1619165388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 TIPTON DR",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331603",
            "telephone_number": "706-864-4012",
            "fax_number": "706-864-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 TIPTON DR",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331603",
            "telephone_number": "706-864-4012",
            "fax_number": "706-864-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "005195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "005195",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dahlonega, GA

Sources for this page

Verify at the official NPI Registry.