Active NPI
Kimberly Milligan Reeves, NP
- Family Nurse Practitioner
- Savannah, GA
National Provider Identifier
1659315232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN067191
- Practice address
- 4750 Waters Ave
Suite 500
Savannah, GA 31404-6200 - Phone
- (912) 352-8346
- Fax
- (912) 355-1414
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN067191 | GA | Primary |
Addresses
Primary practice location
4750 Waters Ave
Suite 500
Savannah, GA 31404-6200
Mailing address
PO Box 116336
Atlanta, GA 30368-6336
Phone (912) 352-8346
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003100265D | Medicaid | GA | |
| 000741848G | Medicaid | GA | |
| 003100265C | Medicaid | GA | |
| 582162071026 | Other | GA | CHAMPUS |
| NP1694 | Medicaid | SC | |
| 003100265A | Medicaid | GA |
Other names 1
- Kimberly Milligan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- kimberly.reeves.p2@direct.savannahvascular.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327363200000",
"number": "1659315232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 116336",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303686336",
"telephone_number": "912-352-8346",
"fax_number": "912-355-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 WATERS AVE",
"address_2": "SUITE 500",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314046200",
"telephone_number": "912-352-8346",
"fax_number": "912-355-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVES",
"first_name": "KIMBERLY",
"middle_name": "MILLIGAN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2012-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN067191",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003100265D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000741848G",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003100265C",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "582162071026",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP1694",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003100265A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "MILLIGAN",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.