Jose Ismael Reyes, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

102397 Issued in GA

Practice address

11125 Jones Bridge Rd Ste 100
Alpharetta, GA 30022-0001

Phone

(678) 383-0008

Fax

(470) 735-6656

NPI assigned

Feb 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ, WA, NV, SC, GA, MT6 enrollments

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 6

Specialty

Psychiatry

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Turnwell Mental Health of Georgia PCGroup PAC ID 1658887559, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Turnwell Mental Health of Georgia, PC

  • Psychiatry Physician
  • Johns Creek, GA
  • NPI 1982414355
  Medicare reassignment Care Compare group NPD
• Aurora Behavioral Health Systems, LLC

  • Psychiatric Hospital
  • Glendale, AZ
  • NPI 1730388349
  Medicare reassignment NPD
• Multicare Health System

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  Medicare reassignment NPD
• Ubh of Phoenix LLC

  • Psychiatric Hospital
  • Phoenix, AZ
  • NPI 1083942098
  Medicare reassignment NPD
• Veeone Medical Group PA

  • Critical Care Medicine (Internal Medicine) Physician
  • Roseville, CA
  • NPI 1265156558

  AZ, NV, SC

  Medicare reassignment NPD
• Copper Springs Hospital Physician Group LLC

  • Psychiatry Physician
  • Avondale, AZ
  • NPI 1700238318
  Medicare reassignment
• Turnwell Mental Health of Montana, PC

  • Psychiatry Physician
  • Billings, MT
  • NPI 1265133292
  Medicare reassignment
• Veeone Medical Group II Professional Corporation

  • Critical Care Medicine (Internal Medicine) Physician
  • Roseville, CA
  • NPI 1043928443

  AZ

  Medicare reassignment
• Aurora Behavioral Health Systems, LLC

  • Psychiatric Hospital
  • Glendale, AZ
  • NPI 1770506024
  NPD
• Multicare Health System

  • Physical Therapist
  • Auburn, WA
  • NPI 1033622311
  NPD
• Multicare Health System

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD
• Ubh of Phoenix LLC

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
  • NPI 1437571213
  NPD

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1417923707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 JONES BRIDGE RD STE 100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300220001",
            "telephone_number": "678-383-0008",
            "fax_number": "470-735-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 JONES BRIDGE RD STE 100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300220001",
            "telephone_number": "678-383-0008",
            "fax_number": "470-735-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "JOSE",
        "middle_name": "ISMAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "42593",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "102397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "558601",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101847625",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Resurgens, LLC
• Revive Counseling Center LLC
• Revive Spine and Pain Care Center, PC
• Revue Inc.
• Revue Pharmacy
• Nicholas Reyes, DC
• Karina Reyna
• Casey Lee Reynolds-Purcell, APC, NCC
• Kayla Reynolds
• Shannon Reynolds, BCBA

• Psychiatry Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.