Individual provider Active NPI

Mishanta Reyes, D.O.

  • Obstetrics & Gynecology Physician
  • Huntsville, AL
National Provider Identifier
1336408830
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
1800 Issued in AL
Practice address
401 Lowell Dr SE Ste 5
Huntsville, AL 35801-3738
Phone
(256) 265-4462
Fax
(256) 265-4463
NPI assigned
May 4, 2012
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 1800 AL Primary

Addresses

Primary practice location

401 Lowell Dr SE Ste 5
Huntsville, AL 35801-3738

Mailing address

PO Box 21007
Huntsville, AL 35813-5007
Phone (256) 801-6321

Other practice location 1

1215 7th St SE Fl 2
Decatur, AL 35601
Phone (256) 973-5216

Other practice location 2

401 S. Madison Street
Albany, GA 31701
Phone (229) 888-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20180410002803 AL Practitioner - Obstetrics/Gynecology 6406165257 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1800ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Helen Keller Specialty Care Obstetrics & Gynecology CurrentSince Oct 1, 2025 Accepting new patients
Emergency Physicians Group CurrentSince Jul 1, 2018 Accepting new patients
HH Physicians Network CurrentSince Jul 1, 2020 Accepting new patients
NW Alabama Practice Management, LLC PastSince Jan 4, 2021 Accepting new patients
H H Health System-Morgan LLC Past Accepting new patients

Locations

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

1104 Monroe St SW
Huntsville, AL 35801
Phone (256) 265-7000

245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673

401 Lowell Dr SE
Ste 1
Huntsville, AL 35801
Phone (256) 265-4462

401 Lowell Dr SE
Ste 5
Huntsville, AL 35801
Phone (256) 265-1775

1041 Balch Rd
Ste 350
Madison, AL 35758
Phone (256) 265-5951

1100 S Jackson Hwy
Ste 250
Sheffield, AL 35660
Phone (256) 381-6673

1300 S Montgomery Ave
Sheffield, AL 35660
Phone (256) 386-4005

Interoperability endpoints

  • Direct secure messaging: mishanta.reyes.1@29847.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1336408830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21007",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358135007",
            "telephone_number": "256-801-6321",
            "fax_number": "256-801-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 LOWELL DR SE STE 5",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013738",
            "telephone_number": "256-265-4462",
            "fax_number": "256-265-4463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 7th St SE Fl 2",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AL",
            "postal_code": "35601",
            "country_code": "US",
            "telephone_number": "256-973-5216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 S. Madison Street",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "GA",
            "postal_code": "31701",
            "country_code": "US",
            "telephone_number": "229-888-3636",
            "fax_number": "229-888-5535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "MISHANTA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "1800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.