Jose Salvador Reyes Oliva, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

85416 Issued in GA

Practice address

3025 Shrine Rd Ste 270
Brunswick, GA 31520-4785

Phone

(912) 262-2723

Fax

(877) 244-5666

NPI assigned

Apr 3, 2015

Last updated

Aug 11, 2020By the provider in NPPES

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

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

Specialty

Internal MedicineAlso: Nephrology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ahmed Elsharkawi MD LLCGroup PAC ID 4385781467, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fresenius Kidney Care Glynn County Dialysis facility, Brunswick, GA, CCN 852557
• DaVita Brunswick South Dialysis Dialysis facility, Brunswick, GA, CCN 112608
• Community Home Care Home health agency, Jesup, GA, CCN 117012
• Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025
• Southeast Georgia Health System -- Camden Campus Hospital, Saint Marys, GA, CCN 110146
• Wayne Memorial Hospital Hospital, Jesup, GA, CCN 110124
• Appling Healthcare Hospital, Baxley, GA, CCN 110071

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

• Ahmed Elsharkawi MD LLC

  • Nephrology Physician
  • Brunswick, GA
  • NPI 1184856494

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Peachtree Family Medicine, LLC.

  • Family Medicine Physician
  • Jesup, GA
  • NPI 1700608353

  Single Specialty

  Medicare reassignment NPD

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

• Bio-Medical Applications of Georgia, Inc.

  dba Fresenius Kidney Care Glynn County

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brunswick, GA
  • NPI 1679051056

  Dialysis facility

  Care Compare affiliation Name & address match
• Dva Healthcare Renal Care Inc

  dba Brunswick South Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brunswick, GA
  • NPI 1467421370

  Dialysis facility

  Care Compare affiliation Name & address match
• Hospital Authority of Wayne County Georgia

  dba Community Home Care

  • Home Health Agency
  • Jesup, GA
  • NPI 1699779405
  Care Compare affiliation
• Hospital Authority of Wayne County, Georgia

  dba wayne memorial hospital

  • General Acute Care Hospital
  • Jesup, GA
  • NPI 1770578999
  Care Compare affiliation
• Southeast Georgia Health System, Inc.

  dba Southeast Georgia Health System - Camden Campus

  • General Acute Care Hospital
  • Saint Marys, GA
  • NPI 1194744326
  Care Compare affiliation
• Southeast Georgia Health System, Inc.

  dba Southeast Georgia Health System - Brunswick Campus

  • General Acute Care Hospital
  • Brunswick, GA
  • NPI 1598784720
  Care Compare affiliation
• The Baxley and Appling County Hospital Authority

  dba appling healthcare system

  • General Acute Care Hospital
  • Baxley, GA
  • NPI 1861615304
  Care Compare affiliation

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1770978900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 27TH ST APT 4",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070873718",
            "telephone_number": "786-371-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 SHRINE RD STE 270",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204785",
            "telephone_number": "912-262-2723",
            "fax_number": "877-244-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES OLIVA",
        "first_name": "JOSE",
        "middle_name": "SALVADOR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN26087",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "85416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renue Plastic Surgery, LLC
• Renue Surgery Center LLC
• Beth Respess, PA
• Revive Physical Therapy
• Rewritten Counseling
• Claire Branch Reyna, PA-C
• Terry L Reynolds, MD
• Valerie Rhett, REGISTERED NURSE
• Derek E Rhodes, PT
• Hailey Rials, PHARMD

• Nephrology Physician in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Nephrology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.