James Wallace Reilly, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10737 Issued in GA

Practice address

1150 Hammond Dr NE Ste E200
Building E Suite 200
Atlanta, GA 30328-8600

Phone

(770) 395-6422

Fax

(770) 321-3720

NPI assigned

Mar 26, 2007

Last updated

Feb 23, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1881712180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 HAMMOND DR NE STE E200",
            "address_2": "BUILDING E SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303288600",
            "telephone_number": "770-395-6422",
            "fax_number": "770-321-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 HAMMOND DR NE STE E200",
            "address_2": "BUILDING E SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303288600",
            "telephone_number": "770-395-6422",
            "fax_number": "770-321-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "JAMES",
        "middle_name": "WALLACE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "10737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morganne Reid
• Susan B Reid, LCSW
• Verona A Reid, NP-C
• William Reif, PT
• Clifford Andrew Reilly Jr., MD, MPH
• Jessica Reilly, M.D.
• Collin Michael Reimer
• Jennifer Reingold
• Todd Reinkemeyer, RDN, LD
• Carli Hague Reis, PHD

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.