Active NPI
Ronald K Reynolds, M.D.
- Emergency Medicine Physician
- North Myrtle Beach, SC
National Provider Identifier
1376641878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 13024
- Practice address
- 1714 Highway 17 S
North Myrtle Beach, SC 29582-4041 - Phone
- (843) 361-0705
- Fax
- (843) 361-4045
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 13024 | SC | Primary |
| Family Medicine Physician | 207Q00000X | 13024 | SC |
Addresses
Primary practice location
1714 Highway 17 S
North Myrtle Beach, SC 29582-4041
Mailing address
4416 Forest Dr
2ND Floor
Columbia, SC 29206-3104
Phone (803) 782-4278
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130245 | Medicaid | SC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070112000246 | SC | Practitioner - Emergency Medicine | 7911989983 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13024 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Physical Therapy, P.a. | Past | Accepting new patients | |
| Emergency Medicine Specialists, P.C. | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of Brooke County, PLLC | Emergency Medicine | Past | Accepting new patients |
| Doctors Care, PA | Emergency Medicine | Past | Accepting new patients |
| Progressive Phyiscal Therapy, PA | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Physical Therapist
- Columbia, SC
- NPI 1487929105
-
- Physical Therapist
- Columbia, SC
- NPI 1093762718
-
- Emergency Medicine Physician
- Weirton, WV
- NPI 1467491332
-
- Emergency Medicine Physician
- Danville, IN
- NPI 1447365796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1376641878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4416 FOREST DR",
"address_2": "2ND FLOOR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292063104",
"telephone_number": "803-782-4278",
"fax_number": "803-782-3445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1714 HIGHWAY 17 S",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295824041",
"telephone_number": "843-361-0705",
"fax_number": "843-361-4045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "RONALD",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "13024",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "13024",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130245",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Myrtle Beach, SC
- Jamie Stephens Ramsey, R.PH.
- Randall Counseling and Therapy Services, LLC
- Reach Community Support, LLC
- Jennifer R Reed
- Patricia Reich, LMT
- Riccobene & Associates CCC DDS PC
- Riccobene & Associates Ccci, DDS, PC
- Riccobene & Associates Ccci, DDS, PC
- Mattie Carolyn Rich, RBT
- Riesenberg Family Dental, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.