Active NPI
Mark Andrew Reyka, CRNA
- Certified Registered Nurse Anesthetist
- Johns Creek, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN228280
- Practice address
- 6325 Hospital Pkwy Ste 304
Johns Creek, GA 30097-5775 - Phone
- (678) 474-7000
- Fax
- (404) 251-2973
- NPI assigned
- Jan 15, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN11028122 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | RN00000X | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | RN228280 | GA | Primary |
Addresses
Primary practice location
6325 Hospital Pkwy Ste 304
Johns Creek, GA 30097-5775
Mailing address
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (687) 474-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN0000150800 | Other | TN | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, GA, WI, VA, SC, FL, TN
Enrollment records 7
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190712001615 | AZ | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6406985621 | |
| I20211021001164 | GA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6406985621 | Reassigns benefits to 3 organizations |
| I20231208002959 | WI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6406985621 | Reassigns benefits to 1 organization |
| I20240422003162 | VA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6406985621 | Reassigns benefits to 1 organization |
| I20240422003363 | SC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6406985621 | Reassigns benefits to 2 organizations |
| I20241120001423 | FL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6406985621 | Reassigns benefits to 1 organization |
| I20251203002946 | TN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6406985621 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Anesthesiologists, PLLCMusc Community PhysiciansUS Anesthesia Partners of Florida Inc
Practice addresses (Care Compare)
1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone (865) 305-9220
3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400
95 Bulldog Blvd
Suite 104
Melbourne, FL 32901-3175
Phone (321) 729-9493
Hospital & facility affiliations
- University Health System, Inc
- Musc Health Florence Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15080 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 39418 | TN | MD | Pharmacist |
| RN228280 | GA | MD | Certified Registered Nurse Anesthetist |
| RN00000X | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Anesthesia Associates, PLLC | Current | Accepting new patients | |
| Redmond Anesthesia and Pain Treatment, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Racine Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Musc Community Physicians | Current | Accepting new patients | |
| Atlantic Coast Anesthesia Services P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Emory Specialty Associates, LLC | Current | Accepting new patients | |
| University Anesthesiologists, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Musc Community Physicians | Current | Accepting new patients | |
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Dpi of Georgia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Laboratory Corportation of America Holdings | Past | Accepting new patients | |
| Permian Anesthesia Associates, Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| University Anesthesiologists, PLLC | Past | Accepting new patients |
Locations
3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155
95 Bulldog Blvd
Ste 104
Melbourne, FL 32901
Phone (321) 952-9800
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889
6325 Hospital Pkwy
Ste 304
Johns Creek, GA 30097
Phone (678) 474-7000
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
300 Colonial Center Pkwy
Ste 100N
Roswell, GA 30076
Phone (704) 684-7609
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
1021 Cipriana Dr
Ste 100
Myrtle Beach, SC 29572
Phone (843) 449-7885
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200
265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 500-1254
1924 Alcoa Hwy
#U109
Knoxville, TN 37920
Phone (865) 305-9220
4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000
3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011
500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501
Organizations & group practices 20
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.
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1073619466
Nurse Anesthetist, Certified Registered, TN
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
FL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Roswell, GA
- NPI 1407323199
GA, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Rome, GA
- NPI 1821350984
GA, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1932641313
Nurse Anesthetist, Certified Registered, SC
-
- Anesthesiology Physician
- Mount Pleasant, WI
- NPI 1467782748
Nurse Anesthetist, Certified Registered, WI
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1558479279
-
- Rural Health Clinic/Center
- Branchville, SC
- NPI 1043916448
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Florence, SC
- NPI 1184197683
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1649501560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1365 CLIFTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221013",
"telephone_number": "687-474-7000",
"fax_number": "404-251-2973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6325 HOSPITAL PKWY STE 304",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300975775",
"telephone_number": "678-474-7000",
"fax_number": "404-251-2973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYKA",
"first_name": "MARK",
"middle_name": "ANDREW",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-15",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11028122",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "RN00000X",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN228280",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "RN0000150800",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johns Creek, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.