SALLY W REEDER (NP) – Nurse Practitioner, NPI 1508810888

SALLY W REEDER (NP) is a healthcare provider. based in Kennesaw, Georgia. specializing in Nurse Practitioner. They hold the professional credentials NP. They hold a License No. RN124766 (GA). The NPI Number for SALLY W REEDER (NP) is 1508810888

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
SALLY W REEDER (NP)
NPI
1508810888
Phone
(770) 779-0015
Address
PO BOX 2968
Enumeration Date
20 May 2006
Last Update Date
20 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7063893000
Graduation Year
1996 (30 years ago)
PAC ID
0345227971
Group Practice PAC ID
0547698680
Professional Enrollment ID
I20040701001087
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for SALLY W REEDER (NP)

  • PO BOX 2968

    KENNESAW, GA 301569117

    Phone: (770) 779-0015

    Type: Mailing

  • 1016 E SPRING ST

    MONROE, GA 306552469

    Phone: (770) 464-0280

    Fax: (770) 464-0233

    Type: Location

  • McDonald's, 1000, Johnson Ferry Road Northeast, Ridgeview Forest, Atlanta, Fulton County, Georgia, 30346, United States

    ATLANTA, GA 303421606

    Phone: (404) 851-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $210.

Total Amount is formed as General ($210) + Research ($0) + Ownership ($0) = $210.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Dexcom, Inc. ($87).

Total Amount

$210

General + Research + Ownership

Payments

10

Total payment records

General Amount

$210

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-07-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040701001087INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30156)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547698680View full group profile
NameSpecialtyState
Nurse PractitionerGA
-AL
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Emergency MedicineGA
Emergency MedicineGA
Emergency MedicineTN
-GA
Emergency MedicineGA

Reviews

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Frequently asked questions

What identifier follows SALLY W REEDER (NP) across health systems?
The NPI 1508810888 uniquely identifies SALLY W REEDER (NP) in U.S. healthcare data.
Is SALLY W REEDER (NP) currently accepting referrals based on NPI status?
Registry metadata lists SALLY W REEDER (NP) as active.
How should patients interpret SALLY W REEDER (NP)'s specialty?
The extract shows Nurse Practitioner for SALLY W REEDER (NP). Clinical services aligned with this taxonomy classification.
What city is tied to SALLY W REEDER (NP)?
The directory associates SALLY W REEDER (NP) with Kennesaw, Georgia. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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