Active NPI
Joe L Reynolds, ANP
- Adult Health Nurse Practitioner
- Society Hill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 25420
- Practice address
- 737 S Main St
Society Hill, SC 29593-8972 - Phone
- (843) 378-4501
- Fax
- (843) 378-4209
- NPI assigned
- Sep 24, 2021
- Last updated
- Aug 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 25420 | SC | Primary |
Addresses
Primary practice location
737 S Main St
Society Hill, SC 29593-8972
Mailing address
PO Box 1090
Hartsville, SC 29551-1090
Phone (843) 857-0111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
545 Sumter Hwy
Bishopville, SC 29010-7601
Phone (803) 484-5317
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caresouth Carolina, Inc. | Current | Accepting new patients | |
| Caresouth Carolina, Inc | Current | Accepting new patients | |
| Caresouth Carolina, Inc | Past | Accepting new patients |
Locations
545 Sumter Hwy
Bishopville, SC 29010
Phone (803) 484-5317
1268 S 4th St
Hartsville, SC 29550
Phone (843) 332-3422
737 S Main St
Society Hill, SC 29593
Phone (843) 378-4501
Interoperability endpoints
- joe.reynolds@csci.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Hartsville, SC
- NPI 1720082571
-
- Federally Qualified Health Center (FQHC)
- Bishopville, SC
- NPI 1942247846
-
- Federally Qualified Health Center (FQHC)
- Society Hill, SC
- NPI 1194763714
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CenterWell Home Health
- Home Health Agency
- Florence, SC
- NPI 1528433521
-
dba Carolina Pines Regional Medical Center
- General Acute Care Hospital
- Hartsville, SC
- NPI 1174500458
-
- General Acute Care Hospital
- Cheraw, SC
- NPI 1902283740
-
- General Acute Care Hospital
- Florence, SC
- NPI 1699756221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1588335962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1090",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295511090",
"telephone_number": "843-857-0111",
"fax_number": "843-857-0206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 S MAIN ST",
"city": "SOCIETY HILL",
"state": "SC",
"postal_code": "295938972",
"telephone_number": "843-378-4501",
"fax_number": "843-378-4209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "JOE",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-24",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "SC",
"license": "25420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Society Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.