JEFFREY M. REILLY M.D. – NPI #1760475586
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

JEFFREY REILLY is a surgeon located in MARIETTA, GA. NPPES has assigned the NPI number 1760475586 to JEFFREY REILLY on August 26, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 6 years ago on Apr 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEFFREY REILLY below.

NPI Profile for
JEFFREY M. REILLY

NPI Number
1760475586
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JEFFREY M. REILLY
Credentials
M.D.
Primary location
61 WHITCHER STREET NE
SUITE 2100
MARIETTA, GA 30060
Phone: (770) 423-0595 Fax: (770) 874-1614
Mailing address
100 STONEFOREST DR STE 130
WOODSTOCK, GA 30189-4881
Phone: (770) 423-0595 Fax: (678) 388-1627
Sole Proprietor
No
Updated
Certification Date
Apr 22, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JEFFREY REILLY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA000818925A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)
GA 047018

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JEFFREY REILLY is affiliated with the following medical group(s):
  • HOSPITAL
    • NORTHSIDE HOSPITAL CHEROKEE
      450 NORTHSIDE CHEROKEE BOULEVARD
      CANTON, GA 30115
    • WELLSTAR COBB MEDICAL CENTER
      3950 AUSTELL RD
      AUSTELL, GA 30106
    • WELLSTAR DOUGLAS HOSPITAL
      8954 HOSPITAL DRIVE
      DOUGLASVILLE, GA 30134
    • WELLSTAR KENNESTONE HOSPITAL
      677 CHURCH STREET
      MARIETTA, GA 30060

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.