Individual provider Active NPI

Dwight C Reynolds, M.D.

  • General Practice Physician
  • Coral Springs, FL
National Provider Identifier
1447483474
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME47053 Issued in FL
Practice address
1890 N University Dr Ste 306
Coral Springs, FL 33071-8963
Phone
(954) 368-8784
NPI assigned
Aug 25, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME47053 FL Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 47053 FL

Addresses

Primary practice location

1890 N University Dr Ste 306
Coral Springs, FL 33071-8963

Mailing address

1890 N University Dr Ste 306
Coral Springs, FL 33071-8963
Phone (954) 368-8784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, GA, LA, ND, FL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20150406000170 AZ Practitioner - Emergency Medicine 8729301445 Reassigns benefits to 1 organization
I20151009001516 GA Practitioner - Emergency Medicine 8729301445 Reassigns benefits to 2 organizations
I20180910002841 LA Practitioner - Emergency Medicine 8729301445 Reassigns benefits to 2 organizations
I20200131001038 ND Practitioner - Emergency Medicine 8729301445 Reassigns benefits to 1 organization
I20200723002491 FL Practitioner - Emergency MedicinePractitioner - General Practice 8729301445 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47053FLMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center CurrentSince Dec 9, 2019 Accepting new patients
Mercy Home Care CurrentSince Dec 9, 2019 Accepting new patients
Acs Primary Care Physicians Louisiana PC CurrentSince Dec 1, 2019 Accepting new patients
Sound Physicians Emergency Medicine of Louisiana Inc CurrentSince Sep 10, 2018 Accepting new patients
Sound Physicians Emergency Medicine of Arizona, Inc. CurrentSince Feb 18, 2024 Accepting new patients
Mercy Medical Center Current Accepting new patients
Heritage Physician Services, LLC CurrentSince Mar 1, 2018 Accepting new patients
Emergency Group of Columbus, LLC CurrentSince Jan 2, 2018 Accepting new patients

Locations

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

3369 Solutions Ctr
Chicago, IL 60677

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

2351 Viking Dr
Bossier City, LA 71111
Phone (318) 681-4500

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1447483474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 N UNIVERSITY DR STE 306",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718963",
            "telephone_number": "954-368-8784",
            "fax_number": "954-827-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 N UNIVERSITY DR STE 306",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718963",
            "telephone_number": "954-368-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "DWIGHT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-25",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME47053",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "FL",
            "license": "47053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.