Individual provider Active NPI

Jonathan Avery Reynolds, M.D.

  • Internal Medicine Physician
  • Franklin, TN
National Provider Identifier
1003135328
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
58191 Issued in TN
Practice address
4000 Longpoint Way Ste 440
Franklin, TN 37064-4340
Phone
(615) 716-8346
Fax
(615) 716-8356
NPI assigned
May 26, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 106796 MN
Internal Medicine Physician 207R00000X 58191 TN Primary

Addresses

Primary practice location

4000 Longpoint Way Ste 440
Franklin, TN 37064-4340

Mailing address

4000 Longpoint Way Ste 440
Franklin, TN 37064-4340
Phone (615) 716-8346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20190430000807 TN Practitioner - Internal Medicine 1254572969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4000 Longpoint Way
Suite 440
Franklin, TN 37064-4340
Phone (615) 716-8346

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
106796MNMDInternal Medicine Physician
58191TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Refine Vein Center PLLC CurrentSince Jul 18, 2023 Accepting new patients
USA Vein Clinics of Tennessee PLLC CurrentSince Jun 27, 2023 Accepting new patients

Locations

9020 Overlook Blvd
Ste 150
Brentwood, TN 37027
Phone (615) 401-7162

4000 Longpoint Way
Ste 440
Franklin, TN 37064
Phone (615) 716-8346

Interoperability endpoints

  • Direct secure messaging: j.avery.reyolds.1@30232.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1003135328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 LONGPOINT WAY STE 440",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370644340",
            "telephone_number": "615-716-8346",
            "fax_number": "615-716-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 LONGPOINT WAY STE 440",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370644340",
            "telephone_number": "615-716-8346",
            "fax_number": "615-716-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JONATHAN",
        "middle_name": "AVERY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-26",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "106796",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "58191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.