Healthcare Provider Details

I. General information

NPI: 1316554801
Provider Name (Legal Business Name): NATALIE ALEXANDRA REED PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2020
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2685 PEACHTREE PKWY STE 110
SUWANEE GA
30024-5646
US

IV. Provider business mailing address

2685 PEACHTREE PKWY
SUWANEE GA
30024-5646
US

V. Phone/Fax

Practice location:
  • Phone: 404-847-4119
  • Fax: 404-847-4232
Mailing address:
  • Phone: 678-477-6172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number10060
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: