DR. JEFFREY M. REZNIK (NPI# 1538292040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538292040 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY M. REZNIK |
| Credential | M.D. |
| Practice Address |
4062 Peachtree Rd Ne Ste C Brookhaven GA 30319-3021 |
| Mailing Address |
2520 Windy Hill Rd Se Suite 301 Marietta GA 30067-8664 |
| Practice Telephone | 4043656500 |
| Practice Fax Number | 4043656501 |
| Mailing Telephone | 7709521032 |
| Mailing Fax Number | 7709528579 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 053872 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 701021381A | 05 |
| Street Address |
4062 PEACHTREE RD NE STE C |
| City | BROOKHAVEN |
| State | GA |
| Zip Code | 30319-3021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437437357 | Jennifer Anne Burkmar | Family Medicine | 4062 Peachtree Rd Ne Ste C, Brookhaven, GA 30319-3021 | 2011-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215556717 | Ronika Cotton | Marriage & Family Therapist | 2002 Summit Boulevard, Suite 300, Atlanta, GA 30319 | 2020-04-14 |
| 1093369548 | Gordon Peace | Physical Therapist | 705 Town Blvd Ne S 550, Atlanta, GA 30319 | 2019-08-01 |
| 1124682281 | Tiffany Nicole Blamble | Physician Assistant | 2235 Briarwood Way Ne, Brookhaven, GA 30319 | 2019-04-24 |
| 1891286860 | Sandy Springs Center for Urologic Surgery LLC | Clinic/Center | 1450 S Johnson Ferry Rd Ste 100, Atlanta, GA 30319 | 2018-05-24 |
| 1578070355 | Aaron Knott | Physical Therapist | 4260 Peachtree Road, Atlanta, GA 30319 | 2018-01-03 |
| 1639683832 | Lauren Hamann | Physical Therapist | 3777 Peachtree Rd Ne Apt 933, Brookhaven, GA 30319 | 2017-11-27 |
| 1760993984 | Caroline M. Brackette | Counselor | 2002 Summit Blvd Ste 300, Brookhaven, GA 30319 | 2017-10-15 |
| 1700328713 | Christina Head | Counselor | 1350 Dresden Drive, Atlanta, GA 30319 | 2016-11-08 |
| 1528432572 | Hillary Allyn Olivier | Occupational Therapist | 3747 Peachtree Rd, Atlanta, GA 30319 | 2015-11-13 |
| 1285025304 | Karl Weismantel | Physical Therapy Assistant | 1000 Lenox Park Blvd, Atlanta, GA 30319 | 2015-02-11 |
| Find all providers in zip 30319 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437702602 | Mary Margaret Burch | Family Medicine | 1401 Dresden Dr Ne Ste 200, Brookhaven, GA 30319-3579 | 2019-07-17 |
| 1922579192 | United Physician Group LLC | Family Medicine | 13 Corporate Blvd Ne Ste 100, Brookhaven, GA 30329-1905 | 2018-12-16 |
| 1891083135 | Southern Primary Care Pllc | Family Medicine | 511 Brookman Dr, Brookhaven, MS 39601-2326 | 2011-07-20 |
| 1710113568 | Casey Jane Henritz | Family Medicine | 705 Town Blvd Ne, Suite 590, Brookhaven, GA 30319-3011 | 2009-06-08 |
| 1013093244 | Jeffrey Keith Rosen | Family Medicine | 100 East Brookhaven Rd, Brookhaven, PA 19015 | 2006-10-31 |
| 1225133978 | Kyle Scott Bateman | Family Medicine | 215 Hwy 51 South, Brookhaven, MS 39601-3245 | 2006-09-14 |
| 1487761854 | Bernard George Boka | Family Medicine | 1014 D A Biglane Dr, Brookhaven, MS 39601-2331 | 2006-08-23 |
| 1518925684 | Robert F. Crowell | Family Medicine | 4000 Edgmont Ave, Brookhaven, PA 19015-2211 | 2006-05-01 |
| 1134116387 | Annette F Racaniello | Family Medicine | 1 Andiron Ln, Brookhaven, NY 11719-0078 | 2005-10-03 |
| 1588298301 | Total Family Care, LLC | Family Medicine | 201 Highway 51 N Ste A, Brookhaven, MS 39601-2653 | 2020-03-02 |
| Find all providers in BROOKHAVEN | ||||
| City | BROOKHAVEN |
| Zip Code | 30319 |
Please comment or provide details below to improve the information on DR. JEFFREY M. REZNIK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.