Organization Active NPI

Jonathan E Reimer MD,PC

  • Adult Medicine Physician
  • Augusta, GA
National Provider Identifier
1851598676
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
20804 Issued in GA
Legal business name
JONATHAN E REIMER MD,PC
Practice address
1224 Augusta West Pkwy
Augusta, GA 30909-6582
Phone
(706) 860-2986
Fax
(706) 863-8129
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Dr. Jonathan Edward Reimer, MD,PCNPI 1194784744
Title
Owner
Phone
(706) 860-2986

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X 20804 GA Primary

Addresses

Primary practice location

1224 Augusta West Pkwy
Augusta, GA 30909-6582

Mailing address

1224 Augusta West Pkwy
Augusta, GA 30909-6582
Phone (706) 860-2986

Other identifiers 1

IdentifierTypeStateIssuer
00201902CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110830000399 GA Part B Supplier - Clinic/Group Practice 4981874948 Receives reassigned benefits from 1 practitioner
Practice locations: Augusta, GA

National Provider Directory

National Provider Directory

Locations

1224 Augusta West Pkwy
Augusta, GA 30909
Phone (706) 860-2986

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1851598676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 AUGUSTA WEST PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096582",
            "telephone_number": "706-860-2986",
            "fax_number": "706-863-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 AUGUSTA WEST PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096582",
            "telephone_number": "706-860-2986",
            "fax_number": "706-863-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN E REIMER MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "REIMER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-860-2986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,PC"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "20804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00201902C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.