Robert Vernon Reese, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

031312 Issued in GA

Practice address

201 W Pine St
Fitzgerald, GA 31750-2863

Phone

(229) 423-4384

Fax

(229) 423-4387

NPI assigned

Aug 31, 2005

Last updated

Nov 7, 2014By 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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1659364040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 968",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317500968",
            "telephone_number": "229-423-4384",
            "fax_number": "229-423-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W PINE ST",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317502863",
            "telephone_number": "229-423-4384",
            "fax_number": "229-423-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "ROBERT",
        "middle_name": "VERNON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "031312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000380828A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phoebe Dorminy OB/GYN Associates
• Phoebe Dorminy Surgical Associates
• Pruitthealth - Fitzgerald, LLC (Pruitt-Health - FItzgerald)
• Nancy Jean Rachels, D.M.D
• Jane Ellen Reese
• Brenda S Reeves, M.ED,CCC-SLP
• Tamekia Richardson
• Robert a Ludwick, M.D.PC
• Anita M Ross, FNP
• Rural Urgent Care LLC

• Family Medicine Physician in Fitzgerald, GA
• Providers in Fitzgerald, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.

Verify at the official NPI Registry.