Active NPI
Robert Stewart Reid, D. C.
- Chiropractor
- Sylvester, GA
National Provider Identifier
1922277300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR002855
- Practice address
- 304 N Westberry St
Sylvester, GA 31791-2125 - Phone
- (229) 776-4697
- Fax
- (229) 776-1494
- NPI assigned
- Feb 29, 2008
- Last updated
- Feb 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR002855 | GA | Primary |
Addresses
Primary practice location
304 N Westberry St
Sylvester, GA 31791-2125
Mailing address
PO Box 812
304 N Westberry Street
Sylvester, GA 31791-0812
Phone (229) 776-4697
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35ZCBLF | Other | GA | MEDICARE PROVIDER # |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR002855 | GA | MD | Chiropractor |
| 2855 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coffee Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Sylvester, GA
- NPI 1942350657
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- Chiropractor
- Douglas, GA
- NPI 1275187403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204243200000",
"number": "1922277300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 812",
"address_2": "304 N WESTBERRY STREET",
"city": "SYLVESTER",
"state": "GA",
"postal_code": "317910812",
"telephone_number": "229-776-4697",
"fax_number": "229-776-1494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 N WESTBERRY ST",
"city": "SYLVESTER",
"state": "GA",
"postal_code": "317912125",
"telephone_number": "229-776-4697",
"fax_number": "229-776-1494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "ROBERT",
"middle_name": "STEWART",
"name_prefix": "Dr.",
"credential": "D. C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-29",
"last_updated": "2008-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR002855",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER #",
"identifier": "35ZCBLF",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sylvester, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.