Reynolds Medical Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

005601 Issued in GA

Legal business name

REYNOLDS MEDICAL CLINIC

Practice address

57 Martin Luther King Drive
Reynolds, GA 31076-2946

Phone

(478) 847-2189

NPI assigned

Sep 3, 2008

Organization subpart

Yes

Parent organization

BLESSINGS MINISTRIES CDCAs reported in NPPES

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

Authorized official

Name

Tamara Browning

Title

President

Phone

(478) 847-2191

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1619125739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 MARTIN LUTHER KING DRIVE",
            "city": "REYNOLDS",
            "state": "GA",
            "postal_code": "310762946",
            "telephone_number": "478-847-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 MARTIN LUTHER KING DRIVE",
            "city": "REYNOLDS",
            "state": "GA",
            "postal_code": "310762946",
            "telephone_number": "478-847-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLDS MEDICAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLESSINGS MINISTRIES CDC",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "BROWNING",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-847-2191"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "005601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Julian Knight, PHARMD
• Tammi Martin Knight, PHARMD
• Macon County Medical Center
• Randall Colby Nelson, AGNP-C
• Premier Cornerstone Management, LLC
• Brandi Dawn Rodriguez, NP-BC
• Taylor County Drug Co Inc

• Clinic/Center in Reynolds, GA
• Providers in Reynolds, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.