MEDICARE: CARROLL ELAINE REEVES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1093697047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARROLL ELAINE REEVES

Provider Business Mailing Address
First Line	:	120 LOWERY LN
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29483-7063
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 LOWERY LN
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29483-7063
Country	:	US
Telephone Number	:	843-509-2944
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2025
Last Update Date	:	02/09/2026

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Directions to “ CARROLL ELAINE REEVES ” Practice Location

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