Jami Lynn Reaves, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

DO2262 Issued in TN

Practice address

8 Sheridan SQ
Ste 110
Kingsport, TN 37660-7478

Phone

(423) 408-1508

Fax

(423) 218-0138

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, VA2 enrollments

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 2

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

West Virginia School of Osteopathic Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Calladerm LLCGroup PAC ID 7719132752, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Calladerm LLC

  • MOHS-Micrographic Surgery Physician
  • Kingsport, TN
  • NPI 1316283252
  Medicare reassignment Care Compare group NPD Authorized official
• Valley Skin Specialists

  • Procedural Dermatology Physician
  • Blacksburg, VA
  • NPI 1588949234
  Medicare reassignment NPD
• Arizona Desert Dermatology and Surgery PC

  • Dermatology Physician
  • Kingman, AZ
  • NPI 1386702546
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1679783567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SHERIDAN SQ",
            "address_2": "STE 110",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607478",
            "telephone_number": "423-408-1508",
            "fax_number": "423-218-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SHERIDAN SQ",
            "address_2": "STE 110",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607478",
            "telephone_number": "423-408-1508",
            "fax_number": "423-218-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAVES",
        "first_name": "JAMI",
        "middle_name": "LYNN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "4371",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "DO2262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1530991",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James P Rash, M.D.
• Atif Rasheed, MD
• Cameron Grace Rasnake, LPC-MHSP (T)
• Amanda Rathbun, BCBA
• Kara Lynn Ratliff, PA
• Lovett P Reddick, MD
• Satvik Punuru Reddy, DO
• Tunga Trishul Reddy, M.D.
• Janice Carol Redmond, CRNA
• Richard K Reed, MD

• Dermatology Physician in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Dermatology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.