Justin Reynolds

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

RN336945 Issued in GA

Practice address

25 Sherman LN NW
Cartersville, GA 30121-4957

Phone

(559) 790-3940

NPI assigned

Aug 24, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Advanced Surgical Services, LLC

  • Registered Nurse First Assistant
  • Cartersville, GA
  • NPI 1710816814
  NPD Authorized official

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1417731852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SHERMAN LN NW",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301214957",
            "telephone_number": "559-790-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SHERMAN LN NW",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301214957",
            "telephone_number": "559-790-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-24",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "GA",
            "license": "RN336945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Respiratory Consultants of Georgia
• Respiratory Consultants of Georgia LLC
• Respiratory Consultants of Georgia Sleep Center
• Amber K Rettig, FNP
• Allison Reynolds, OTR/L
• Tyler Lynne Reynolds, PA-C
• Mark Paul Rheaume, M.D.
• Sydney Reeder Rhoades, DPT
• Hugo D Ribot Jr., M.D.
• James 'Keith' Rice, PA

• Registered Nurse First Assistant in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Registered Nurse First Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.