SHADE REID (NP) – Pediatric Nurse Practitioner, NPI 1902303985
Pediatric Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SHADE REID (NP)
1305 HEMBREE RD STE 203
ROSWELL, GA 300763810
Phone: (470) 485-6342
Type: Location
985, Manor Drive Southeast, Smyrna Heights, Smyrna, Cobb County, Georgia, 30080, United States
SMYRNA, GA 300804213
Phone: (404) 312-9925
Type: Mailing
Chantilly Drive Northeast, Atlanta, Fulton County, Georgia, 30324, United States
ATLANTA, GA 303243270
Phone: (404) 785-5437
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-06-06
PECOS data refreshed: 2026-06-15
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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 30076)
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