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SHADE REID NP
NPI 1902303985
Nurse Practitioner - Pediatrics in Roswell, GA

Active since April 06, 2018PECOS Enrolled
1305 HEMBREE RD STE 203, ROSWELL, GA 30076(470) 485-6342 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shade Reid Np NPPES

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

SHADE REID NP (NPI 1902303985) is an individual pediatrics provider in Roswell, Georgia, licensed in Georgia (233880) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902303985
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSHADE REIDCredential: NP
Location Address1305 HEMBREE RD STE 203Roswell, GA 30076-3810
Mailing Address985 Manor Dr SeSmyrna, GA 30080-4213 · (404) 312-9925
Phone(470) 485-6342
Sole ProprietorNo
Enumeration DateApril 6, 2018
Last NPPES UpdateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
✔ NPI 1902303985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in GA · 233880
1305 HEMBREE RD STE 203, Roswell, GA 30076
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shade Reid Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30076 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REALTIME CLINICS PC
Pediatrics
1305 HEMBREE RD STE 203
ROSWELL, GA 30076
Fulton County (470) 485-6342
DR. MICHAEL OSITA NWANERI MBBS, MD, MSC, MBA
Pediatrics
1305 HEMBREE RD STE 203
ROSWELL, GA 30076
Fulton County (470) 485-6342
KATE URE URUM
Nurse Practitioner (Family)
1305 HEMBREE RD STE 203
ROSWELL, GA 30076
Fulton County (470) 485-6342

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 Shade Reid's NPI number?

The NPI number for Shade Reid is 1902303985. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Where is Shade Reid located?

Shade Reid practices at 1305 Hembree Rd Ste 203, Roswell, GA 30076. The listed phone number is (470) 485-6342.

What is Shade Reid's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Shade Reid enrolled in Medicare?

Yes. Shade Reid is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shade Reid was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.