Active NPI
Jeremy W Reifsnyder, D.C., D.O.
- Orthopaedic Surgery Physician
- Lagrange, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 90646
- Practice address
- 300 Medical Dr Ste 707
Lagrange, GA 30240-4130 - Phone
- (706) 880-7320
- NPI assigned
- Dec 8, 2006
- Last updated
- Jul 25, 2022
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 90646 | GA | Primary |
| General Practice Physician | 208D00000X | 1349 | NE |
Addresses
Primary practice location
300 Medical Dr Ste 707
Lagrange, GA 30240-4130
Mailing address
300 Medical Dr Ste 707
Lagrange, GA 30240-4130
Phone (706) 880-7320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Pacific NW Un of HS, Col of Osteopathic Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1510 Vernon Rd
Lagrange, GA 30240-4131
Phone (706) 845-3905
1514 Vernon Rd
Lagrange, GA 30240-4131
Phone (706) 880-7222
300 Medical Dr
Lagrange, GA 30240-4130
Phone (706) 880-7222
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
599 3Rd Ave
West Point, GA 31833-1523
Phone (706) 242-5081
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 27 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90646 | GA | MD | Orthopaedic Surgery Physician |
| 1349 | NE | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients |
Locations
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
300 Medical Dr
Ste 707
Lagrange, GA 30240
Phone (706) 803-7920
805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616
Interoperability endpoints
- jreifsnyder439152@directwellstar.org
Organizations & group practices 2
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.
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba West Georgia Home Care
- Home Health Agency
- Lagrange, GA
- NPI 1558594887
-
dba WellStar West Georgia Medical Center
- General Acute Care Hospital
- Lagrange, GA
- NPI 1821221144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1396804779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 MEDICAL DR STE 707",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302404130",
"telephone_number": "706-880-7320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MEDICAL DR STE 707",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302404130",
"telephone_number": "706-880-7320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIFSNYDER",
"first_name": "JEREMY",
"middle_name": "W",
"credential": "D.C., D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "90646",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NE",
"license": "1349",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lagrange, GA
- Regional Infectious Diseases and Infusion Center Inc
- Regional Infectious Diseases and Infusion Center Inc
- Charles Joseph Reid, PHARMD
- Destina Shante Reid, PA-C
- Jessika E Reid
- Renal Associates of Lagrange at Emory LLC
- Renal Associates of Lagrange LLC
- Renal Associates of Lagrange LLC
- Renee Caverly-Gillett Counseling Services, LLC
- Rachael Rice, M.ED, APC, NCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.