Individual provider Active NPI

Gregory Aaron Reynolds, M.D.

  • Gastroenterology Physician
  • Lexington, KY
National Provider Identifier
1376700864
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
41383 Issued in KY
Practice address
341 Jane Briggs Ave
Lexington, KY 40509-4502
Phone
(859) 269-8364
NPI assigned
May 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 41383 KY
Gastroenterology Physician 207RG0100X 41383 KY Primary

Addresses

Primary practice location

341 Jane Briggs Ave
Lexington, KY 40509-4502

Mailing address

341 Jane Briggs Avenue
Lexington, KY 40509
Phone (859) 269-8364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090323000268 KY Practitioner - GastroenterologyPractitioner - Internal Medicine 2961569744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Kentucky College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clark Regional Physician Practices LLCGroup PAC ID 9739337569, 46 clinicians

Practice addresses (Care Compare)

225 Hospital Dr
Suite 315
Winchester, KY 40391-7628
Phone (859) 737-6488

Hospital & facility affiliations

  • Clark Regional Medical Center Hospital, Winchester, KY, CCN 180092
  • Bourbon Community Hospital Hospital, Paris, KY, CCN 180046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy161
Upper gastrointestinal (GI) endoscopy for acid reflux204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Regional Physician Practices, LLC Internal Medicine CurrentSince Jul 1, 2013 Accepting new patients
Clark Regional Physician Practices LLC CurrentSince Jul 1, 2013 Accepting new patients
Kentucky Hospital, LLC Past Accepting new patients

Locations

8 Linville Dr
Paris, KY 40361
Phone (859) 321-8631

225 Hospital Dr
Ste 315
Winchester, KY 40391
Phone (859) 737-6488

225 Hospital Dr
Ste 200B
Winchester, KY 40391
Phone (859) 737-6488

225 Hospital Dr
Ste 200A
Winchester, KY 40391
Phone (859) 737-6480

Interoperability endpoints

  • Direct secure messaging: qfu8621@yourcarecommunity.org
  • Direct secure messaging: gregory.reynolds.1@19475.direct.athenahealth.com

Organizations & group practices 3

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.

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1376700864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 JANE BRIGGS AVENUE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40509",
            "telephone_number": "859-269-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 JANE BRIGGS AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094502",
            "telephone_number": "859-269-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "GREGORY",
        "middle_name": "AARON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "41383",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "41383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.