DR. RONALD S REAGIN DPM NPI 1104801265

NPI Information

NPI: 1104801265
Provider Name: DR. RONALD S REAGIN, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
656 A-B S MAIN ST
BAXLEY, GA
ZIP 31515
Phone: (912) 367-5281
Get Directions

DR. Ronald S Reagin, DPM is a podiatrist in Baxley, GA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Ronald S Reagin, DPM NPI is 1104801265. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

656 A-B S MAIN ST
BAXLEY, GA
ZIP 31515
Phone: (912) 367-5281
Fax: (912) 367-5240

The NPI 1104801265 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 12/13/2005 and was last updated on 10/16/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213E00000X	Podiatrist		000613	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	48SCBCS	OTHER	GEORGIA	MEDICARE ID TYPE PODIATRY
2	U23655	MEDICARE UPIN	GEORGIA
3	480007952	OTHER	GEORGIA	RAILROAD MEDICARE
4	000415346A	MEDICAID	GEORGIA
5	0753530001	MEDICARE NSC	GEORGIA
6	48SCBCS	MEDICARE PIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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