Edward Roger Reynolds Jr., PAC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

771 Issued in SC

Practice address

560 Constitution Dr Ste 200
Sumter, SC 29154-8175

Phone

(803) 775-4469

Fax

(803) 775-4981

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Medical University of South Carolina College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology and Skin Surgery IncGroup PAC ID 2860822699, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Musc Health Columbia Medical Center Downtown Hospital, Columbia, SC, CCN 420026

Merit-based Incentive Payment System (MIPS)

Final score

90.82 of 100Reported as group

Quality

86.45

Improvement activities

40

Cost

87.46

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: edward.reynolds.1@14320.direct.athenahealth.com

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.

• Dermatology and Skin Surgery Inc

  • Dermatology Physician
  • Sumter, SC
  • NPI 1366075343
  Medicare reassignment Care Compare group
• Sumter Psychiatry Associates PA

  • Psychiatry Physician
  • Sumter, SC
  • NPI 1679589485
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Medical University Hospital Authority

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1285200105
  Care Compare affiliation
• Medical University Hospital Authority

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1558937474
  Care Compare affiliation
• Medical University Hospital Authority

  • Urgent Care Clinic/Center
  • Columbia, SC
  • NPI 1578402764

  Hospital

  Care Compare affiliation
• Medical University Hospital Authority

  • Clinic/Center
  • Winnsboro, SC
  • NPI 1811563737

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1013942549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 CONSTITUTION DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291548175",
            "telephone_number": "803-775-4469",
            "fax_number": "803-775-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 CONSTITUTION DR STE 200",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291548175",
            "telephone_number": "803-775-4469",
            "fax_number": "803-775-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "EDWARD",
        "middle_name": "ROGER",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ereynolds@directaddress.net",
            "affiliation": "N",
            "address_1": "560 Constitution Dr",
            "city": "Sumter",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291548175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Reliable Medical Equipment of South Carolina, LLC
• Renewed Image Youth & Family Services, LLC
• Restorative Arts Dental PA
• Restorative Arts Dental PA
• Andrew J. Reynolds, MD
• Jeremy Allen Rhodes, DO
• Russell David Rich, M.A.
• Rhonda Kay Richardson-Windham, RN, BSN
• Cynthia D Richardson, GNP
• Darlene L. Richardson, R.PH.

• Dermatology Physician in Sumter, SC
• Providers in Sumter, SC by specialty
• Dermatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.