Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Reves, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053705764

Jonathan Reves, DO is an Internal Medicine in Jackson, Mississippi. Graduated from Nova Southeastern College of Osteo Medicine in 2015, 11 years ago. Practices with Medical Foundation of Central Mississippi Inc, a 273-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
11
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
MS
In the registry since
2015
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1225 N State St
Jackson, MS 39202-2064
Phone: (601) 988-5281
Fax: (601) 974-6241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 969 Lakeland Dr, Jackson, MS 39216-4606 — (601) 200-4644

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25712 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence T-3198 (MS)

Record details

NPI number1053705764
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 20, 2015
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 3, 2025
Mailing address965 Ridge Lake Blvd Ste 315, Memphis, TN 38120-9401

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2015 (11 years in practice)
Group practice Medical Foundation Of Central Mississippi Inc — 273 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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