Individual provider Active NPI

Kelley M Reynolds, MD

  • Family Medicine Physician
  • McGregor, TX
National Provider Identifier
1528045846
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K0547 Issued in TX
Practice address
500 South Johnson Drive
McGregor, TX 76657
Phone
(254) 313-5200
Fax
(254) 313-4531
NPI assigned
Dec 28, 2005
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K0547 TX Primary

Addresses

Primary practice location

500 South Johnson Drive
McGregor, TX 76657

Mailing address

1600 Providence Dr
Waco, TX 76707-2261
Phone (254) 313-4200

Other practice location 1

8416 Old McGregor Rd
Woodway, TX 76712-6499
Phone (254) 307-3997

Other identifiers 1

IdentifierTypeStateIssuer
102807803MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050221000526 TX Practitioner - Family Practice 2769434554 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vesper Medical Care PLLCGroup PAC ID 4880097237, 27 clinicians

Practice addresses (Care Compare)

1600 Providence Dr
Waco, TX 76707-2261
Phone (254) 313-4200

1800 Gurley LN
Waco, TX 76706-4025
Phone (254) 313-6000

500 Johnson Dr
MC Gregor, TX 76657-1441
Phone (254) 313-5200

8416 Old McGregor Rd
Woodway, TX 76712-6499
Phone (254) 307-3997

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K0547TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vesper Medical Care PLLC CurrentSince Mar 11, 2025 Accepting new patients
Heart of Texas Community Health Center, Inc Family Medicine CurrentSince Apr 18, 2018 Accepting new patients
Heart of Texas Community Health Center Inc Current Accepting new patients
McLennan County Hospitalist Services PA CurrentSince Jun 29, 2010 Accepting new patients
Heart of Texas Community Health Center, Inc. Family Medicine CurrentSince Apr 18, 2018 Accepting new patients
South Limestone Hospital District Past Accepting new patients
South Limestone Hospital District PastSince Jan 1, 2025 Accepting new patients

Locations

500 Johnson Dr
McGregor, TX 76657
Phone (254) 313-5200

600 S 25th St
Ste 115
Temple, TX 76504
Phone (254) 899-8650

110 S 12th St
Waco, TX 76701
Phone (254) 297-7124

120 Hillcrest Medical Blvd
Ste 300
Waco, TX 76712
Phone (254) 313-6500

1226 Washington Ave
Waco, TX 76701
Phone (254) 313-6300

1600 Providence Dr
Waco, TX 76707
Phone (254) 313-4200

1800 Gurley Ln
Waco, TX 76706
Phone (254) 313-6000

2201 MacArthur Dr
Ste 103
Waco, TX 76708
Phone (254) 202-6100

600 W State Highway 6
Waco, TX 76712
Phone (254) 313-6700

609 Elm Ave
Waco, TX 76704
Phone (254) 313-6900

6901 Medical Pkwy
Waco, TX 76712
Phone (254) 751-4000

8416 Old McGregor Rd
Woodway, TX 76712
Phone (254) 307-3997

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St. Joseph's Care CenterMcGregor, TX, CCN 745059 Skilled nursing facility Adp of the SNF Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1528045846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PROVIDENCE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767072261",
            "telephone_number": "254-313-4200",
            "fax_number": "254-313-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SOUTH JOHNSON DRIVE",
            "city": "MCGREGOR",
            "state": "TX",
            "postal_code": "76657",
            "telephone_number": "254-313-5200",
            "fax_number": "254-313-4531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8416 Old McGregor Rd",
            "address_purpose": "LOCATION",
            "city": "Woodway",
            "state": "TX",
            "postal_code": "767126499",
            "country_code": "US",
            "telephone_number": "254-307-3997",
            "fax_number": "254-300-9935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "KELLEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K0547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102807803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McGregor, TX

Sources for this page

Verify at the official NPI Registry.