Individual provider Active NPI

Mark Steven Reynolds, MD

  • Psychiatry Physician
  • Durham, NC
National Provider Identifier
1023052503
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
32957 Issued in NC
Practice address
923 Broad St
Durham, NC 27705-4141
Phone
(919) 220-4224
Fax
(919) 220-7309
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 32957 NC Primary

Addresses

Primary practice location

923 Broad St
Durham, NC 27705-4141

Mailing address

6 Gatlin CT
Durham, NC 27707-5395
Phone (919) 475-7043

Other identifiers 1

IdentifierTypeStateIssuer
2342249OtherNCGROUP MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041202001009 NC Practitioner - Psychiatry 5698660538 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Beautifiul Mind Behavioral Health Services PLLC Psychiatry CurrentSince Mar 15, 2023 Accepting new patients
Telecare Mental Health Services of North Carolina Past Accepting new patients
Carolina Behavioral Care, P.a. Psychiatry Past Accepting new patients
Telecare Corporation Past Accepting new patients
Triumph LLC Past Accepting new patients

Locations

1638 Memorial Dr
Burlington, NC 27215
Phone (336) 226-8000

612 Business Park Dr
Eden, NC 27288
Phone (336) 438-2525

114 S Park Ter
Eden, NC 27288
Phone (336) 438-2525

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023052503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GATLIN CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075395",
            "telephone_number": "919-475-7043",
            "fax_number": "919-220-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054141",
            "telephone_number": "919-220-4224",
            "fax_number": "919-220-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "MARK",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "32957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "2342249",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.