Individual provider Active NPI

Jason Seth Reingold, M.D.

  • Cardiovascular Disease Physician
  • Alpharetta, GA
National Provider Identifier
1639374283
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
064255 Issued in GA
Practice address
11680 Great Oaks Way Ste 170
Alpharetta, GA 30022-2483
Phone
(404) 900-9970
Fax
(770) 755-5865
NPI assigned
Jun 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 064255 GA Primary

Addresses

Primary practice location

11680 Great Oaks Way Ste 170
Alpharetta, GA 30022-2483

Mailing address

3943 Dahlwiny CT
Sandy Springs, GA 30350-1153
Phone (404) 946-8797

Other identifiers 1

IdentifierTypeStateIssuer
202I06OtherMEDICARE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101203001256 GA Practitioner - Cardiovascular Disease (Cardiology) 0547349870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Emory University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11680 Great Oaks Way
Suite 170
Alpharetta, GA 30022-2483
Phone (770) 376-5810

Hospital & facility affiliations

  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Wellstar North Fulton Medical Center Hospital, Roswell, GA, CCN 110198
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Integrative Cardiology LLC Cardiovascular Disease CurrentSince Mar 23, 2023 Accepting new patients

Locations

11680 Great Oaks Way
Ste 170B
Alpharetta, GA 30022

11680 Great Oaks Way
Ste 170
Alpharetta, GA 30022
Phone (404) 296-1130

5400 Laurel Springs Pkwy
Ste 1402
Suwanee, GA 30024
Phone (678) 965-0586

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 and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1639374283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3943 DAHLWINY CT",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303501153",
            "telephone_number": "404-946-8797",
            "fax_number": "404-595-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11680 GREAT OAKS WAY STE 170",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300222483",
            "telephone_number": "404-900-9970",
            "fax_number": "770-755-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINGOLD",
        "first_name": "JASON",
        "middle_name": "SETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "064255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "202I06",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.