Individual provider Active NPI

Crystal Reese

  • Obstetrics & Gynecology Physician
  • Montgomery, AL
National Provider Identifier
1780003822
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD.38000 Issued in AL
Practice address
1758 Park PL Ste 301
Montgomery, AL 36106-1137
Phone
(334) 284-1500
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
Yes

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jackson Hospital and Clinic, Inc 119 clinicians

Practice addresses (Care Compare)

1758 Park PL
Suite 300
Montgomery, AL 36106-1137
Phone (334) 293-8922

Hospital & facility affiliations

  • Jackson Hospital & Clinic Inc Hospital, Montgomery, AL, CCN 010024
  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20190528000273 AL Practitioner - Obstetrics/Gynecology 2769784057 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.38000ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Hospital and Clinic, Inc. CurrentSince Mar 5, 2019 Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince Mar 5, 2019 Accepting new patients
Jackson Hospital and Clinic, Inc. Current Accepting new patients
Jackson Hospital & Clinic, Inc. Past Accepting new patients
Health Care Authority for Baptist Health an Affiliate of Uabhs Past Accepting new patients

Locations

1758 Park Pl
Ste 201
Montgomery, AL 36106
Phone (334) 263-3630

1722 Pine St
Ste 503
Montgomery, AL 36106
Phone (334) 240-2337

1758 Park Pl
Ste 301
Montgomery, AL 36106
Phone (205) 366-9740

1722 Pine St
Ste 804
Montgomery, AL 36106
Phone (334) 834-7221

1758 Park Pl
Ste 300
Montgomery, AL 36106
Phone (334) 274-1204

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

Interoperability endpoints

  • Direct secure messaging: crystal.reese.1@9186.direct.athenahealth.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X MD.38000 AL Primary

Addresses

NPPES NPI Registry

Primary practice location

1758 Park PL Ste 301
Montgomery, AL 36106-1137

Mailing address

6530 Meadow Lark Dr
Montgomery, AL 36116-4226

Other practice location 1

720 Westview Dr SW
Atlanta, GA 30310-1458
Phone (404) 616-1692

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 21, 2019.

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1780003822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6530 MEADOW LARK DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361164226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1758 PARK PL STE 301",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061137",
            "telephone_number": "334-284-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Westview Dr SW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303101458",
            "country_code": "US",
            "telephone_number": "404-616-1692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REESE",
        "first_name": "CRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "MD.38000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.