Individual provider Active NPI

Bridget M. Reynolds, CRNA

  • Certified Registered Nurse Anesthetist
  • Mableton, GA
National Provider Identifier
1255328092
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN136114 Issued in GA
Practice address
461 Vinings Vintage Cir
Mableton, GA 30126-7204
Phone
(770) 745-5907
NPI assigned
Oct 5, 2005
Last updated
Jul 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN136114 GA Primary

Addresses

Primary practice location

461 Vinings Vintage Cir
Mableton, GA 30126-7204

Mailing address

461 Vinings Vintage Cir
Mableton, GA 30126-7204
Phone (770) 745-5907

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040630000507 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052398864 Reassigns benefits to 15 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians
Gi Anesthesia of Georgia LLCGroup PAC ID 0446516769, 117 clinicians
Mak Anesthesia Holdings, LLCGroup PAC ID 4284917204, 370 clinicians

Practice addresses (Care Compare)

2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2068
Phone (770) 732-4022

301 Philip Blvd
Suite B
Lawrenceville, GA 30046-8746
Phone (770) 822-5560

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 702-1806

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

625 Church Nest
Marietta, GA 30060-1101
Phone (770) 422-2004

677 Church Nest
Marietta, GA 30060-1101

677 Church St NE
Suite 100P
Marietta, GA 30060-1101
Phone (470) 793-8585

8954 Hospital Dr
Douglasville, GA 30134-2272
Phone (678) 838-2585

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN136114GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
SG Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2021 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 2, 2021 Accepting new patients
Progressive Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2016 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Mar 15, 2023 Accepting new patients
Greater Atlanta Anesthesia, LLC CurrentSince Dec 1, 2016 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2021 Accepting new patients
Xenon Anesthesia of Georgia LLC CurrentSince Jan 1, 2018 Accepting new patients
South Metro Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 28, 2021 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Everest Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 19, 2023 Accepting new patients
WGG Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2017 Accepting new patients
TMC-West Georgia Anesthesia Associates Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 28, 2017 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Nov 19, 2021 Accepting new patients
Anesthesia Consultants of Georgia, LLC CurrentSince Jun 6, 2016 Accepting new patients
Gastroenterology Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 28, 2021 Accepting new patients
North American Partners in Anesthesia Maryland LLC PastSince Jul 10, 2022 Accepting new patients
Progressive Anesthesia Consultants, LLC Past Accepting new patients
Ambulatory Anesthesia of Atlanta, P C Past Accepting new patients
Georgia Pain and Spine Solutions, PC Past Accepting new patients
Professional Anesthesia Associates Nurse Anesthetist, Certified Registered Past Accepting new patients
North Fulton Anesthesia Associates PC Nurse Anesthetist, Certified Registered PastSince Aug 13, 2023 Accepting new patients
Henry C. Ballance & Associates, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Dekalb Anesthesia Associates, P a Past Accepting new patients
American Anesthesiology Associates of Georgia, LLC Past Accepting new patients
Georgia Anesthesiologists, PC Past Accepting new patients
The Maryland Center for Digestive Health LLC PastSince Jun 13, 2018 Accepting new patients
Northlake Anesthesia Professionals, LLC Past Accepting new patients

Locations (25 of 35)

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

340 N Milledge Ave
Ste A
Athens, GA 30601
Phone (706) 548-0008

550 Peachtree St NE
Ste 1220
Atlanta, GA 30308
Phone (404) 230-5622

550 Peachtree St NE
Ste 1600
Atlanta, GA 30308
Phone (404) 881-1094

95 Collier Rd NW
Ste 4075
Atlanta, GA 30309
Phone (404) 355-2200

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1515 River Pl
Ste 320
Braselton, GA 30517
Phone (678) 997-2125

160 Clinic Ave
Carrollton, GA 30117
Phone (770) 214-2800

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

5303 Adams St NE
Ste D
Covington, GA 30014
Phone (770) 786-7971

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

8855 Hospital Dr
Ste 102
Douglasville, GA 30134
Phone (678) 784-5020

3400 McClure Bridge Rd
Ste A102
Duluth, GA 30096
Phone (917) 621-6854

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

1265 Highway 54 W
Ste 401
Fayetteville, GA 30214
Phone (678) 617-6505

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

2324 Limestone Overlook
Ste 200
Gainesville, GA 30501
Phone (312) 724-7441

226 E College St
#A
Griffin, GA 30224
Phone (678) 987-1490

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

301 Philip Blvd
Ste B
Lawrenceville, GA 30046
Phone (770) 682-7220

763 Old Norcross Rd
Lawrenceville, GA 30046
Phone (678) 985-1994

4865 Bill Gardner Pkwy
Locust Grove, GA 30248
Phone (770) 692-0100

610 3rd St
Ste 102
Macon, GA 31201
Phone (478) 202-8691

488 Kennesaw Ave NW
Ste 100
Marietta, GA 30060
Phone (770) 427-3075

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18187/brand/1/csg/1/fhir/r4

Organizations & group practices 29

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 29

Hospital & facility affiliations 2

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1255328092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 VININGS VINTAGE CIR",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301267204",
            "telephone_number": "770-745-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 VININGS VINTAGE CIR",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301267204",
            "telephone_number": "770-745-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "BRIDGET",
        "middle_name": "M.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN136114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.