Individual provider Active NPI

Reyse Garner, AUD

  • Audiologist
  • Lexington, SC
National Provider Identifier
1649011651
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
7968 Issued in SC
Practice address
157 Corley Mill Rd
Lexington, SC 29072-7600
Phone
(803) 256-2483
Fax
(803) 799-4624
NPI assigned
Jun 4, 2024
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 7968 SC Primary

Addresses

Primary practice location

157 Corley Mill Rd
Lexington, SC 29072-7600

Mailing address

157 Corley Mill Rd
Lexington, SC 29072-7600
Phone (803) 520-5445

Other practice location 1

9 Richland Medical Park Dr Ste 510
Columbia, SC 29203-6870
Phone (803) 256-2483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241107002517 SC Practitioner - Qualified Audiologist 4082148499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of South Carolina School of Medicine, Greenville, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centa Medical Group PAGroup PAC ID 9335108778, 9 clinicians

Practice addresses (Care Compare)

157 Corley Mill Rd
Lexington, SC 29072-7600
Phone (803) 256-2483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7968SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Centa Medical Group PA CurrentSince Aug 10, 2024 Accepting new patients

Locations

9 Richland Medical Park Dr
Ste 510
Columbia, SC 29203
Phone (803) 256-2483

157 Corley Mill Rd
Lexington, SC 29072
Phone (803) 256-2483

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1649011651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 CORLEY MILL RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727600",
            "telephone_number": "803-520-5445",
            "fax_number": "803-799-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 CORLEY MILL RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727600",
            "telephone_number": "803-256-2483",
            "fax_number": "803-799-4624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Richland Medical Park Dr Ste 510",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036870",
            "country_code": "US",
            "telephone_number": "803-256-2483",
            "fax_number": "803-799-4624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARNER",
        "first_name": "REYSE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "7968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.