Individual provider Active NPI

Andrew J. Reynolds, MD

  • Internal Medicine Physician
  • Sumter, SC
National Provider Identifier
1144218009
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23500 Issued in SC
Practice address
1295 Wilson Hall Rd
Sumter, SC 29150-1804
Phone
(803) 905-6800
Fax
(803) 905-6810
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23500 SC Primary

Addresses

Primary practice location

1295 Wilson Hall Rd
Sumter, SC 29150-1804

Mailing address

1295 Wilson Hall Rd
Sumter, SC 29150-1804
Phone (803) 905-6800

Other identifiers 1

IdentifierTypeStateIssuer
PC2225MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andrew.reynolds@mpaii.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090812000386 SC Practitioner - Internal Medicine 7618072877 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical University of South Carolina College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Regional Medical Center of the Pee Dee IncGroup PAC ID 7416851852, 401 clinicians

Practice addresses (Care Compare)

1295 Wilson Hall Rd
Sumter, SC 29150-1804
Phone (803) 905-6800

555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000

Hospital & facility affiliations

  • Amedisys Home Health of Lexington Home health agency, Lexington, SC, CCN 427039
  • Centerwell Home Health-Pee Dee Home health agency, Florence, SC, CCN 427854
  • Amedisys Home Health Care Home health agency, Kingstree, SC, CCN 427068
  • Amedisys Hospice of South Carolina Hospice, Florence, SC, CCN 421555
  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
  • Prisma Health Tuomey Hospital Hospital, Sumter, SC, CCN 420070
  • McLeod Health Clarendon Hospital, Manning, SC, CCN 420109
  • Prisma Health Baptist Hospital, Columbia, SC, CCN 420086

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Tuomey CurrentSince Nov 29, 2016 Accepting new patients
McLeod Physician Associates II Internal Medicine CurrentSince Sep 1, 2017 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Sep 15, 2024 Accepting new patients
Prisma Health Tuomey CurrentSince Nov 29, 2016 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Internal Medicine CurrentSince Sep 15, 2024 Accepting new patients
McLeod Physician Associates II CurrentSince Sep 1, 2017 Accepting new patients
Carolina Geriatric Specialists, LLC PastSince Apr 12, 2011 Accepting new patients
Prisma Health-Midlands Past Accepting new patients

Locations

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

1295 Wilson Hall Rd
Sumter, SC 29150
Phone (803) 905-6800

129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752

Interoperability endpoints

  • Direct secure messaging: andrew.reynolds@mpaii.eclinicaldirectplus.com
  • Direct secure messaging: areynolds19641@directmcleodehealth.org

Organizations & group practices 8

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 9

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1144218009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 WILSON HALL RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501804",
            "telephone_number": "803-905-6800",
            "fax_number": "803-905-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 WILSON HALL RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501804",
            "telephone_number": "803-905-6800",
            "fax_number": "803-905-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ANDREW",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "23500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC2225",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew.reynolds@mpaii.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "ECW DA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "1295 Wilson Hall Rd",
            "city": "Sumter",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291501804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.