Beverly Ann Reilly, ANP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

18184 Issued in SC

Practice address

335 Pleasant Point Dr
Beaufort, SC 29907-1164

Phone

(843) 757-1173

Fax

(866) 527-0937

NPI assigned

Oct 12, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Senior Health Associates, PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Beaufort, SC
  • NPI 1023155728
  NPD (past)
• Critical Care Pulmonary Medicine, PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Battle Creek, MI
  • NPI 1679520712
  NPD (past)

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1750579967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84068",
            "address_2": "SENIOR HEALTH ASSOCIATES",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "29073",
            "telephone_number": "843-757-1173",
            "fax_number": "866-527-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 PLEASANT POINT DR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299071164",
            "telephone_number": "843-757-1173",
            "fax_number": "866-527-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "BEVERLY",
        "middle_name": "ANN",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704231115",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "18184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2334",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Reed, DPT
• Evan C Reese Jr., M.D.
• Jennifer Reese
• Saeed U. Rehman, MD
• Marc T. Reichel, MD
• Lauren Elizabeth Remegi
• Emi Michelle Rendon Pope, M.D.
• Resorts at Beaufort LLC
• Resource Medical Group of Charleston, LLC
• Robert D Reuer, MD

• Adult Health Nurse Practitioner in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Adult Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.