Michael K Reynolds, MD
Individual provider Active NPI Family Medicine Physician · Alberta, VA
NPI 1104822386 · NPPES record last updated Nov 15, 2023
Key facts
- NPI
- 1104822386
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0101236563 (VA)
- Practice address
- 8380 Boydton Plank Rd
Alberta, VA 23821-2851 - Phone
- (434) 949-7211
- Fax
- (434) 447-2240
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Virginia School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Virginia Health Services Inc
Practice addresses (Care Compare)
8380 Boydton Plank Rd
Alberta, VA 23821-2851
Phone (434) 949-7211
Hospital & facility affiliations
- Amedisys Home Health
- Community Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040909001381 | VA | Practitioner - Family Practice | 6103892179 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Virginia Health Services Inc | Current |
Accepting new patients | |
| Central Virginia Health Services Inc | Current |
Accepting new patients | |
| Central Virginia Health Services Inc | Current | Accepting new patients | |
| Central Virginia Health Services Inc | Past | Accepting new patients |
Locations
8380 Boydton Plank Rd
Alberta, VA 23821
Phone (434) 949-7211
25892 N James Madison Hwy
New Canton, VA 23123
Phone (434) 581-3271
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101236563 | VA | Yes |
Addresses
Primary practice location
8380 Boydton Plank Rd
Alberta, VA 23821-2851
Mailing address
514 W Atlantic St
South Hill, VA 23970-1906
Phone (434) 447-6969
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 189199 | Other | VA | BCBS # |
| 51558 | Other | VA | CARENET |
| 010091098 | Other | VA | VA PREMIER |
| 010091101 | Medicaid | VA | |
| 1104822386 | Medicaid | VA | |
| 224189800 | Other | VA | DOL |
| 5902981 | Other | VA | NC MEDICAID |
| 144581 | Other | VA | BCBS # |
| 3536927 | Other | VA | CIGNA |
| 4583985 | Other | VA | AETNA |
| 90188 | Other | VA | OPTIMA |
| 299420 | Other | VA | SOUTHERN HEALTH |
| P00227639 | Other | VA | SH RR MEDICARE |
| 010091098 | Medicaid | VA | |
| 010103371 | Medicaid | VA | |
| 144592 | Other | VA | BCBS # |
| D9941 | Other | VA | MEDCOST |
| 1104822386 | Other | VA | NPI |
Other providers in Alberta, VA
- Kathryn Kilpatrick
- Tynekia Lewis
- Sabrina S Mayton
- Shonda Lashay Moore-Stevens
- Alice Pritchett
- Deja Rice
- Juan Antonio Rivas
- Lesley Genevieve Rivers
- Joseph James Sperber
- Bryan Studivant
All providers in Alberta, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.