Active NPI
Alexander Bruce Reid, MD
- Orthopaedic Surgery Physician
- Griffin, GA
National Provider Identifier
1881684041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 056944
- Practice address
- 717 S 8TH St
Griffin, GA 30224-4818 - Phone
- (770) 227-4600
- Fax
- (770) 227-9624
- NPI assigned
- Oct 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 056944 | GA | Primary |
Addresses
Primary practice location
717 S 8TH St
Griffin, GA 30224-4818
Mailing address
717 S 8TH St
Griffin, GA 30224-4818
Phone (770) 227-4600
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20NCCMF | Other | GA | MEDICARE ID-TYPE UNSPECIFIED |
| 569040999B | Medicaid | GA | |
| 569040999A | Medicaid | GA | |
| 569040999C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056944 | GA | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356652800000",
"number": "1881684041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 S 8TH ST",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244818",
"telephone_number": "770-227-4600",
"fax_number": "770-227-9624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 S 8TH ST",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244818",
"telephone_number": "770-227-4600",
"fax_number": "770-227-9624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "ALEXANDER",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-27",
"last_updated": "2012-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "056944",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID-TYPE UNSPECIFIED",
"identifier": "20NCCMF",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "569040999B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "569040999A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "569040999C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Griffin, GA
- Nicholas H Reese, M.A.
- Savannah Reeves, PHYSICAL THERAPIST
- Regenerative Orthopaedics and Spine Institute, LLC
- Region IV Department of Family and Children Services
- Regroup Healthcare Services LLC
- Richard Grantphil Reid, RPH
- Edward J. Reilly, PA
- Reliance Health and Home Physician Services, Inc.
- Reliance Health and Home Physician Services, Inc.
- Reliance Healthcare Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.