Individual provider Active NPI

Cameron Lewis Reynolds, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Midlothian, VA
National Provider Identifier
1306509633
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024183628 Issued in VA
Practice address
5001 W Village Green Dr Ste 205
Midlothian, VA 23112-4801
Phone
(833) 510-4357
Fax
(866) 460-2997
NPI assigned
Oct 13, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024183628 VA Primary

Addresses

Primary practice location

5001 W Village Green Dr Ste 205
Midlothian, VA 23112-4801

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (833) 510-4357

Other practice location 1

12409 Gayton Station Blvd
Richmond, VA 23233-6651
Phone (718) 753-4720

Other identifiers 1

IdentifierTypeStateIssuer
2021050922MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20220404000911 VA Practitioner - Nurse Practitioner 2466848239 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brighter Days Mental Health ServicesGroup PAC ID 5991192734, 4 clinicians
Brightview LLCGroup PAC ID 9032426044, 117 clinicians

Practice addresses (Care Compare)

13157 Rivers Bend Blvd
Chester, VA 23836-2674
Phone (804) 659-7581

5001 W Village Green Dr
Suite 205
Midlothian, VA 23112-4801
Phone (833) 510-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024183628VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery Counseling and Consulting LLC CurrentSince Dec 26, 2023 Accepting new patients
Virginia South Psychiatric & Family Services CurrentSince Dec 16, 2021 Accepting new patients
Brightview LLC CurrentSince Feb 9, 2026 Accepting new patients
Brightview LLC CurrentSince Feb 9, 2026 Accepting new patients
Three Rivers Treatment Center LLC Past Accepting new patients

Locations

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

3704 Old Forest Rd
Lynchburg, VA 24501

5001 W Village Green Dr
Ste 205
Midlothian, VA 23112
Phone (804) 744-6700

13901 Coalfield Commons Pl
Ste 102
Midlothian, VA 23114
Phone (804) 378-0800

269 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 861-0700

7760 Shrader Rd
#B
Richmond, VA 23228
Phone (804) 591-0002

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72142

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1306509633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "833-510-4357",
            "fax_number": "866-460-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 W VILLAGE GREEN DR STE 205",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124801",
            "telephone_number": "833-510-4357",
            "fax_number": "866-460-2997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12409 Gayton Station Blvd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232336651",
            "country_code": "US",
            "telephone_number": "718-753-4720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "CAMERON",
        "middle_name": "LEWIS",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-13",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024183628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2021050922",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.