Patricia Reynolds, CNM, NP

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

RN057361 Issued in GA

Practice address

906 Hampton Rd
McDonough, GA 30253-6570

Phone

(770) 898-1415

Fax

(770) 898-2887

NPI assigned

Feb 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11895/brand/1/csg/1/fhir/r4

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.

• Peach Family Medicine P.C.

  • Family Medicine Physician
  • McDonough, GA
  • NPI 1245266535
  NPD (past)
• Peach State Women'S Healthcare

  • Obstetrics & Gynecology Physician
  • McDonough, GA
  • NPI 1790943504
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1215062161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 HAMPTON RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536570",
            "telephone_number": "770-898-1415",
            "fax_number": "770-898-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 HAMPTON RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536570",
            "telephone_number": "770-898-1415",
            "fax_number": "770-898-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "PATRICIA",
        "credential": "CNM, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN057361",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN057361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00811522A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reliance Family Care
• Reliance Family Care
• Reliance Urgent Care, LLC
• Restoration Neurology, Inc.
• Resurgens, LLC
• Rha Health Services Ga LLC
• Roberta L Rhoades, RPH, PHARMD
• Taylor Rice, PHARM. D.
• Richard E. Paul DMD PC
• Kellye Richardson, PMHNP-BC

• Advanced Practice Midwife in McDonough, GA
• Providers in McDonough, GA by specialty
• Advanced Practice Midwife in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.