Active NPI
Cameron Lewis Reynolds, NURSE PRACTITIONER
- Psychiatric/Mental Health Nurse Practitioner
- Midlothian, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024183628
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2021050922 | Medicaid | VA |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0024183628 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Discovery Counseling and Consulting LLC | Current | Accepting new patients | |
| Virginia South Psychiatric & Family Services | Current | Accepting new patients | |
| Brightview LLC | Current | Accepting new patients | |
| Brightview LLC | Current | 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
- 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Lynchburg, VA
- NPI 1649786260
-
- Psychiatric/Mental Health Nurse Practitioner
- Chester, VA
- NPI 1376154609
-
- Psychiatry Physician
- Petersburg, VA
- NPI 1700894466
-
- Multi-Specialty Clinic/Center
- Henrico, VA
- NPI 1831475045
-
- Addiction Medicine (Internal Medicine) Physician
- Asheboro, NC
- NPI 1962163782
-
- Psychiatric Residential Treatment Facility
- Kenbridge, VA
- NPI 1568827780
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.