LE'ROY E REESE (PH.D.) – Clinical Psychologist, NPI 1982769006

LE'ROY E REESE (PH.D.) is a healthcare provider. based in Decatur, Georgia. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PSY002464 (GA). The NPI Number for LE'ROY E REESE (PH.D.) is 1982769006

Main info

Male
Sole Proprietor
32 Years Of Experience
Name
LE'ROY E REESE (PH.D.)
NPI
1982769006
Phone
(404) 378-7309
Address
103 N MCDONOUGH ST
Enumeration Date
27 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4043787309
Graduation Year
1994 (32 years ago)
PAC ID
3375855158
Professional Enrollment ID
I20150708002901
Address ID
GA300303303DE125XXPLAC402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

483 CLINICAL PSYCHOLOGIST in GA

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Provider Addresses for LE'ROY E REESE (PH.D.)

  • 103, North McDonough Street, Decatur, DeKalb County, Georgia, 30030, United States

    REAR UNIT

    DECATUR, GA 300303317

    Phone: (404) 378-7309

    Fax: (404) 378-7310

    Type: Location

  • PO BOX 832152

    STONE MOUNTAIN, GA 300830036

    Phone: (404) 378-7309

    Fax: (404) 378-7310

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-07-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150708002901IPsychologist Billing IndependentlyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30030)

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Reviews

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Frequently asked questions

How do payers reference LE'ROY E REESE (PH.D.)?
For LE'ROY E REESE (PH.D.), use NPI 1982769006 as the unique 10-digit identifier.
Is LE'ROY E REESE (PH.D.) shown as active in public data?
Registry records indicate LE'ROY E REESE (PH.D.) maintains an active NPI.
What area of care is associated with LE'ROY E REESE (PH.D.)?
LE'ROY E REESE (PH.D.)'s record emphasizes Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with LE'ROY E REESE (PH.D.)?
Directory geography for LE'ROY E REESE (PH.D.) centers on Decatur, Georgia.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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