Individual provider Active NPI

Courtney Nicole Reina, FNP

  • Family Nurse Practitioner
  • Kennesaw, GA
National Provider Identifier
1376358242
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN321461 Issued in GA
Practice address
2911 George Busbee Pkwy NW Ste 50
Kennesaw, GA 30144-6910
Phone
(844) 328-4624
NPI assigned
Feb 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN321461 GA Primary

Addresses

Primary practice location

2911 George Busbee Pkwy NW Ste 50
Kennesaw, GA 30144-6910

Mailing address

2995 Abbottswell Dr
Alpharetta, GA 30022-5279

Other practice location 1

2220 Wisteria Dr Ste 100
Snellville, GA 30078-4604
Phone (844) 328-4624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250219001623 GA Practitioner - Nurse Practitioner 3173043346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medici Medical ArtsGroup PAC ID 0446574883, 5 clinicians

Practice addresses (Care Compare)

2911 George Busbee Pkwy NW
Kennesaw, GA 30144-6908
Phone (844) 328-4624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN321461GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medici Medical Arts CurrentSince Feb 13, 2025 Accepting new patients

Locations

2911 George Busbee Pkwy NW
Kennesaw, GA 30144
Phone (404) 759-0590

2911 George Busbee Pkwy NW
Ste 50
Kennesaw, GA 30144
Phone (770) 425-1186

2220 Wisteria Dr
Ste 100
Snellville, GA 30078

Interoperability endpoints

  • Direct secure messaging: courtney.reina.1@8922.direct.athenahealth.com

Organizations & group practices 1

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": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1376358242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 ABBOTTSWELL DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300225279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 GEORGE BUSBEE PKWY NW STE 50",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446910",
            "telephone_number": "844-328-4624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 Wisteria Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300784604",
            "country_code": "US",
            "telephone_number": "844-328-4624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REINA",
        "first_name": "COURTNEY",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN321461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.