Individual provider Active NPI

Ashley Massey McReynolds

  • Family Nurse Practitioner
  • Columbus, MS
National Provider Identifier
1124980768
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
907594 Issued in MS
Practice address
2200 5TH St N
Columbus, MS 39705-2212
Phone
(662) 370-0986
NPI assigned
Dec 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 907594 MS Primary

Addresses

Primary practice location

2200 5TH St N
Columbus, MS 39705-2212

Mailing address

20 Sunken Rd
Steens, MS 39766-8006
Phone (662) 370-0986

Other practice location 1

116 Medical Center Dr
West Point, MS 39773-0428
Phone (662) 492-3183

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20260407002343 MS Practitioner - Nurse Practitioner 5991270969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10996 Four Seasons PL
Suite 100C
Crown Point, IN 46307-7762

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
907594MSMDFamily Nurse Practitioner

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1124980768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SUNKEN RD",
            "city": "STEENS",
            "state": "MS",
            "postal_code": "397668006",
            "telephone_number": "662-370-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052212",
            "telephone_number": "662-370-0986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "West Point",
            "state": "MS",
            "postal_code": "397730428",
            "country_code": "US",
            "telephone_number": "662-492-3183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCREYNOLDS",
        "first_name": "ASHLEY",
        "middle_name": "MASSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.