Sandra Reynolds

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Practice address

220 N. Thompson
Ellaville, GA 31806-3180

Phone

(229) 938-3872

NPI assigned

Feb 18, 2022

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Grace and Prosperity Adult Day Care LLC

  • Adult Day Care Clinic/Center
  • Ellaville, GA
  • NPI 1336898576
  NPD Authorized official
• Reynolds Helping Hands, LLC

  • Assisted Living Facility
  • Americus, GA
  • NPI 1023762226
  NPD Authorized official

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1114672086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 FIRST MONTGOMERY ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317192336",
            "telephone_number": "229-938-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N. THOMPSON",
            "city": "ELLAVILLE",
            "state": "GA",
            "postal_code": "318063180",
            "telephone_number": "229-938-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "reynoldssandra11@yahoo.com",
            "affiliation": "N",
            "address_1": "220 N. Thompson",
            "city": "ellaville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "318063180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather Kemp
• Samantha Helton Montgomery, FNP
• Phoebe Sumter Medical Center, Inc
• Angelita Reyes Quiroz, NP-C
• Laura Noel Register
• Schley County Board of Health
• Schley County Commissioner
• Schley County Schools
• Maryanne Shephard, NURSE PRACTIONER
• Kristy Joy Smith, FNP-C

• Adult Day Care Clinic/Center in Ellaville, GA
• Providers in Ellaville, GA by specialty
• Adult Day Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.