Active NPI
Donald James Reynolds Jr., D.O.
- Diagnostic Radiology Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 81700
- Practice address
- 1210 W Faris Rd
Greenville, SC 29605-4444 - Phone
- (864) 522-1800
- Fax
- (864) 522-1806
- NPI assigned
- Nov 15, 2005
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 81700 | SC | Primary |
Addresses
Primary practice location
1210 W Faris Rd
Greenville, SC 29605-4444
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4187363 | Other | TN | TNCARE SELECT |
| 009932442 | Medicaid | AL | |
| 009932443 | Medicaid | AL | |
| 4187363 | Other | TN | BCBS |
| 009932444 | Medicaid | AL | |
| 51001619 | Other | AL | BC GREYSTONE |
| 51001628 | Other | AL | BC 280 |
| 51001630 | Other | AL | BC SYLACAUGA |
| 817004 | Medicaid | SC | |
| 51001624 | Other | AL | BC MONTCLAIR |
| 009932446 | Medicaid | AL | |
| 009934022 | Medicaid | AL | |
| 3300039 | Medicaid | TN | |
| 51001627 | Other | AL | BC SHELBY |
| P00632720 | Other | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dreynolds248720@direct.ghs.myhfn.org | Direct |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prisma Health University Medical Group
Practice addresses (Care Compare)
1210 W Faris Rd
Greenville, SC 29605-4444
Phone (864) 522-1800
1519 Marion St
Columbia, SC 29201-2910
Phone (803) 296-5954
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1956 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Imaging Centers, LLC | Current | Accepting new patients | |
| Prisma Health Imaging Centers, LLC | Current | Accepting new patients | |
| Prisma Health University Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| Prisma Health Imaging Centers, LLC | Current | Accepting new patients | |
| Prisma Health University Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health Imaging Centers, LLC | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Robert Eichelberger, M.D., P.C. | Past | Accepting new patients | |
| Cincinnati Imaging Leasing Company, LTD. | Diagnostic Radiology | Past | Accepting new patients |
Locations
1519 Marion St
Columbia, SC 29201
Phone (803) 296-5513
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306
1210 W Faris Rd
Greenville, SC 29605
Phone (864) 295-4410
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
Interoperability endpoints
- dreynolds248720@direct.ghs.myhfn.org
Organizations & group practices 11
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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
dba Department of Radiology
- Diagnostic Radiology Physician
- Greenville, SC
- NPI 1568799955
-
dba Department of Radiology
- Diagnostic Radiology Physician
- Columbia, SC
- NPI 1730786096
-
dba Prisma Health Imaging Center Orchard Park
- Physiological Laboratory
- Greenville, SC
- NPI 1073366472
-
dba PH Imaging Center Anderson
- Physiological Laboratory
- Anderson, SC
- NPI 1184587784
-
dba PH Imaging Center Chapin
- Physiological Laboratory
- Chapin, SC
- NPI 1336031079
-
dba PH Imaging Center Irmo
- Physiological Laboratory
- Columbia, SC
- NPI 1871485466
-
dba Parkside OB-GYN
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
dba University Medical Group/Mobile Health Clinic
- Nurse Practitioner
- Greenville, SC
- NPI 1053786483
-
dba ProScan Imaging Midtown
- Diagnostic Radiology Physician
- Cincinnati, OH
- NPI 1447240502
-
dba Southeastern Imaging Group
- Specialist
- Birmingham, AL
- NPI 1528114568
Hospital & facility affiliations 52
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Prisma Health Oconee Memorial Hospital
- General Acute Care Hospital
- Seneca, SC
- NPI 1063968196
-
dba Prisma Health Wonder Center
- Medically Fragile Infants and Children Day Care
- Greenville, SC
- NPI 1093168064
Hospital
-
dba Prisma Health Cancer Inst-Faris
- General Acute Care Hospital
- Greenville, SC
- NPI 1114473212
-
dba Prisma Health Center for Family Medicine
- General Acute Care Hospital
- Greenville, SC
- NPI 1174079271
-
dba Prisma Health OP Radiology
- Radiology Clinic/Center
- Greenville, SC
- NPI 1235685330
Hospital
-
dba Prisma Health Laurens County Hospital
- General Acute Care Hospital
- Clinton, SC
- NPI 1245786367
-
dba Prisma Health Sleep Disorders Center-Verdae
- Sleep Disorder Diagnostic Clinic/Center
- Greenville, SC
- NPI 1275086431
Hospital
-
dba Prisma Health Diabetes Self Care Mgt Prog
- Multi-Specialty Clinic/Center
- Greenville, SC
- NPI 1285180307
Hospital
-
dba Prisma Health Womens/Childrens Program
- Clinic/Center
- Greenville, SC
- NPI 1316492218
Hospital
-
dba Prisma Health Surgery Center - Centennial Way
- General Acute Care Hospital
- Greenville, SC
- NPI 1326884982
-
dba Prisma Health Kidnetics-Medicaid
- Developmental Disabilities Clinic/Center
- Greenville, SC
- NPI 1336695436
Hospital
-
dba Prisma Health Cardiovascular Svcs GRNV
- General Acute Care Hospital
- Greenville, SC
- NPI 1366998460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1659353886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 W FARIS RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054444",
"telephone_number": "864-522-1800",
"fax_number": "864-522-1806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "DONALD",
"middle_name": "JAMES",
"name_suffix": "Jr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SC",
"license": "81700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TNCARE SELECT",
"identifier": "4187363",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009932442",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009932443",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4187363",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009932444",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC GREYSTONE",
"identifier": "51001619",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC 280",
"identifier": "51001628",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC SYLACAUGA",
"identifier": "51001630",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "817004",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC MONTCLAIR",
"identifier": "51001624",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009932446",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009934022",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3300039",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC SHELBY",
"identifier": "51001627",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00632720",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dreynolds248720@direct.ghs.myhfn.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "dreynolds248720@direct.ghs.myhfn.org",
"address_1": "1210 W Faris Rd",
"city": "Greenville",
"state": "SC",
"country_code": "US",
"postal_code": "296054444",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.