Individual provider Active NPI

Lauren Elizabeth Reid, MD

  • Otolaryngology Physician
  • Cumming, GA
National Provider Identifier
1902487424
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
111080 Issued in GA
Practice address
4150 Deputy Bill Cantrell Memorial Road
Suite 260
Cumming, GA 30040-3021
Phone
(770) 292-3045
Fax
(770) 292-3046
NPI assigned
Apr 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 111080 GA Primary

Addresses

Primary practice location

4150 Deputy Bill Cantrell Memorial Road
Suite 260
Cumming, GA 30040-3021

Mailing address

4150 Deputy Bill Cantrell Memorial Road
Suite 260
Cumming, GA 30040-3021
Phone (770) 292-3045

Other practice location 1

5887 Glenridge Dr Ste 120
Sandy Springs, GA 30328-5574
Phone (770) 292-3045

Other practice location 2

920 Madison Ave Ste 447
Memphis, TN 38103-3438
Phone (901) 448-5885

Other practice location 3

3180 North Point Parkway
Building 500 Suite 512
Alpharetta, GA 30005-4569
Phone (770) 292-3045

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210512000935 TN Order and Referring Only - OtolaryngologyPractitioner - Otolaryngology 9335558931

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
111080GAMDOtolaryngology Physician

NPI Registry JSON

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1902487424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 DEPUTY BILL CANTRELL MEMORIAL ROAD",
            "address_2": "SUITE 260",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300403021",
            "telephone_number": "770-292-3045",
            "fax_number": "770-292-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 DEPUTY BILL CANTRELL MEMORIAL ROAD",
            "address_2": "SUITE 260",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300403021",
            "telephone_number": "770-292-3045",
            "fax_number": "770-292-3046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5887 Glenridge Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Sandy Springs",
            "state": "GA",
            "postal_code": "303285574",
            "country_code": "US",
            "telephone_number": "770-292-3045",
            "fax_number": "770-292-3046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 Madison Ave Ste 447",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381033438",
            "country_code": "US",
            "telephone_number": "901-448-5885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3180 North Point Parkway",
            "address_2": "Building 500 Suite 512",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300054569",
            "country_code": "US",
            "telephone_number": "770-292-3045",
            "fax_number": "770-292-3046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "111080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.