Individual provider Active NPI

John Ernest Reed, MD

  • Hospice and Palliative Medicine (Emergency Medicine) Physician
  • Bogart, GA
National Provider Identifier
1982828828
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Emergency Medicine) PhysicianTaxonomy code 207PH0002X
License
035506 Issued in GA
Practice address
1071 Holcomb CT
Bogart, GA 30622-2391
Phone
(770) 417-1234
Fax
(251) 758-3019
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Emergency Medicine) Physician 207PH0002X 035506 GA Primary

Addresses

Primary practice location

1071 Holcomb CT
Bogart, GA 30622-2391

Mailing address

1071 Holcomb CT
Bogart, GA 30622-2391
Phone (770) 417-1234

Other identifiers 1

IdentifierTypeStateIssuer
00508582AMedicaidGA

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080218000428 GA Practitioner - Emergency Medicine 1355424151 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Hospital, Inc. CurrentSince Jul 1, 1966 Accepting new patients
Northside Hospital, Inc. CurrentSince Jul 1, 1966 Accepting new patients
Gwinnett Medical Group, Inc Current Accepting new patients
Gwinnett Pathology Assoc PC Current Accepting new patients
Gwinnett Emergency Specialists, LLC PastSince Oct 1, 2023 Accepting new patients
Gwinnett Emergency Specialists Observation Services, LLC PastSince Oct 1, 2023 Accepting new patients

Locations

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1982828828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 HOLCOMB CT",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306222391",
            "telephone_number": "770-417-1234",
            "fax_number": "251-758-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 HOLCOMB CT",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306222391",
            "telephone_number": "770-417-1234",
            "fax_number": "251-758-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "JOHN",
        "middle_name": "ERNEST",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "GA",
            "license": "035506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00508582A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogart, GA

Sources for this page

Verify at the official NPI Registry.