Physician Compare National (NPI:1720114481)

HEALTHCARE PROVIDER: PAULA PATTON REID PSY.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1720114481
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0446688766
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200320001499
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	REID
	Individual professional last name
Provider First Name	PAULA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2801 BEAUFORT HWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 505
	Group Practice or individual's line 2 address
City	BROOKHAVEN
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	30329
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4049830925
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y