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REAGAN MEDICAL CENTER
NPI 1467771832
Specialist in Johns Creek, GA

Active since May 25, 2010CLIA 11D2045835 · Waiver
10160 MEDLOCK BRIDGE RD, SUITE 100, JOHNS CREEK, GA 30097(678) 344-8700(678) 344-8600 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Reagan Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REAGAN MEDICAL CENTER (NPI 1467771832) is a healthcare organization registered as a specialist in Johns Creek, Georgia and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through April 22, 2027 and lists Satish Poddar, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467771832
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameREAGAN MEDICAL CENTER
Location Address10160 MEDLOCK BRIDGE RD, SUITE 100Johns Creek, GA 30097-4419
Mailing Address2878 Five Forks Trickum Rd, Suite 2aLawrenceville, GA 30044-5896 · (678) 344-8700 · Fax (678) 344-8600
Phone(678) 344-8700
Fax(678) 344-8600
Organization SubpartYes
Authorized OfficialSatish PoddarCeo · (678) 344-8700
Enumeration DateMay 25, 2010
Last NPPES UpdateAugust 19, 2020
NPPES CertifiedAugust 19, 2020
✔ NPI 1467771832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
10160 MEDLOCK BRIDGE RD, Johns Creek, GA 30097
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reagan Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

44

Medicare enrollment records show 44 clinicians reassign Medicare billing to Reagan Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Nurse Practitioner13
Family Practice11
Internal Medicine7
Diagnostic Radiology5
Neurosurgery3
Interventional Cardiology2
Advanced Heart Failure and Transplant Cardiology1
Cardiovascular Disease (Cardiology)1
1 other specialty1

Nearest to this location (20)

See all 44
Neela Bakane, MD
Family Practice
NPI 1811088842
10160 MEDLOCK BRIDGE RD SUIE 100
Johns Creek, GA 30097
(678) 387-1600
✔ PECOSSame address
Taylor Dukes
Physical Therapist in Private Practice
NPI 1417569047
10160 MEDLOCK BRIDGE ROAD SUITE B
Johns Creek, GA 30097
(678) 584-1622
✔ Accepts MedicareSame address
Mark Majoch, M.D.
Family Practice
NPI 1306811823
3855 PLEASANT HILL RD STE 100
Duluth, GA 30096
(770) 495-0155
✔ PECOS✔ Accepts Medicare2.4 mi
Binh Nguyen, MD
Internal Medicine
NPI 1629417597
11305 BELL RD STE 105
Johns Creek, GA 30097
(470) 822-3700
✔ PECOS✔ Accepts Medicare3.7 mi
Bethwel Raore, MD
Neurosurgery
NPI 1215114475
454 SATELLITE BLVD NW STE 100
Suwanee, GA 30024
(678) 250-0880
✔ PECOS✔ Accepts Medicare7.0 mi
Dave Seecharan, M.D.
Neurosurgery
NPI 1174789416
454 SATELLITE BLVD NW STE 100
Suwanee, GA 30024
(678) 250-0880
✔ PECOS✔ Accepts Medicare7.0 mi
Carmen Sherman, FNP
Nurse Practitioner
NPI 1568450740
771 OLD NORCROSS RD SUITE 135
Lawrenceville, GA 30046
(678) 689-1100
✔ PECOS11 mi
Sreenivasulur Gangasani, MD
Advanced Heart Failure and Transplant Cardiology
NPI 1215923701
310 PHILIP BLVD STE 102
Lawrenceville, GA 30046
(678) 841-8412
✔ PECOS✔ Accepts Medicare11 mi
Salil Patel, MD
Cardiovascular Disease (Cardiology)
NPI 1346236510
755 WALTHER RD
Lawrenceville, GA 30045
(770) 962-0399
✔ PECOS✔ Accepts Medicare11 mi
Joseph Perez, D.O.
Internal Medicine
NPI 1194703595
755 WALTHER RD
Lawrenceville, GA 30046
(770) 962-0399
✔ PECOS✔ Accepts Medicare11 mi
Yuri Pride, M.D.
Interventional Cardiology
NPI 1972760841
755 WALTHER RD
Lawrenceville, GA 30046
(470) 325-1000
✔ PECOS✔ Accepts Medicare11 mi
Philip Romm, MD
Interventional Cardiology
NPI 1760478184
755 WALTHER RD
Lawrenceville, GA 30045
(770) 962-0399
✔ PECOS✔ Accepts Medicare11 mi
Manfred Sandler, MD
Internal Medicine
NPI 1043206451
755 WALTHER RD
Lawrenceville, GA 30046
(770) 962-0399
✔ PECOS✔ Accepts Medicare11 mi
Charlotte Ebner, D.O.
Family Practice
NPI 1912228941
2878 FIVE FORKS TRICKUM RD
Lawrenceville, GA 30044
(678) 344-8700
✔ PECOS12 mi
Archna Poddar, M.D.
Internal Medicine
NPI 1407845340
2878 FIVE FORKS TRICKUM RD STE 2A
Lawrenceville, GA 30044
(678) 344-8700
✔ PECOS✔ Accepts Medicare12 mi
Shamsah Malik, NP
Nurse Practitioner
NPI 1972711836
2878 FIVE FORKS TRICKUM RD
Lawrenceville, GA 30044
(678) 344-8700
✔ PECOS✔ Accepts Medicare12 mi
Satish Poddar, M.D.
Internal Medicine
NPI 1083603922
2878 FIVE FORKS TRICKUM RD STE 2A
Lawrenceville, GA 30044
(678) 344-8700
✔ PECOS✔ Accepts Medicare12 mi
Harvey Schecter, D.O.
Family Practice
NPI 1821051970
976 KILLIAN HILL RD SW SUITE A
Lilburn, GA 30047
(770) 923-7500
12 mi
Linda Stemp, FNP, PHD
Nurse Practitioner
NPI 1033153077
6667 VERNON WOODS DR STE A19
Sandy Springs, GA 30328
(404) 252-3500
✔ PECOS13 mi
John Lentz, MD
Family Practice
NPI 1235264342
1800 TREE LANE RD STE 290A
Snellville, GA 30078
(770) 979-1544
✔ PECOS14 mi
See all 44 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2045835

Reagan Medical Center · Johns Creek, GA
Active · expires Apr 22, 2027
CLIA Number11D2045835
Laboratory TypePhysician Office
Certificate Effective DateApril 23, 2025
Certificate Expiration DateApril 22, 2027
Laboratory DirectorSatish Poddar
Laboratory Phone(678) 387-1600
Laboratory LocationReagan Medical Center10160 Medlock Bridge Road, Suite 100, Johns Creek, GA 30097
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reagan Medical Center's NPI number?

The NPI number for Reagan Medical Center is 1467771832. It was assigned to this organization in the NPPES registry on May 25, 2010.

Where is Reagan Medical Center located?

Reagan Medical Center is located at 10160 Medlock Bridge Rd Suite 100, Johns Creek, GA 30097. The listed phone number is (678) 344-8700.

What is Reagan Medical Center's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Reagan Medical Center enrolled in Medicare?

Yes. Reagan Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Reagan Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 44 clinicians in 9 Medicare specialties reassign their Medicare billing to Reagan Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (13), Family Practice (11) and Internal Medicine (7). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Reagan Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2045835) is associated with this NPI, valid through April 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Reagan Medical Center was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.