Individual provider Active NPI

Karen Richards-Reynolds, FNP-C

  • Family Nurse Practitioner
  • Hampton, GA
National Provider Identifier
1699927681
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN154504 Issued in GA
Practice address
1058 Bear Creek Blvd
Hampton, GA 30228-1849
Phone
(770) 707-0808
Fax
(770) 707-1580
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN154504 GA Primary

Addresses

Primary practice location

1058 Bear Creek Blvd
Hampton, GA 30228-1849

Mailing address

1058 Bear Creek Blvd
Hampton, GA 30228-1849
Phone (770) 707-0808

Other identifiers 1

IdentifierTypeStateIssuer
918191094AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081202000381 GA Practitioner - Nurse Practitioner 9830250406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aylo Health, LLCGroup PAC ID 8022901925, 112 clinicians

Practice addresses (Care Compare)

1100 Hospital Dr
Stockbridge, GA 30281-6381
Phone (770) 914-0116

1108 Hospital Dr
Stockbridge, GA 30281-6381
Phone (770) 914-0116

145 Eagles Walk
Suite a
Stockbridge, GA 30281-7340
Phone (770) 914-0116

3758 Hwy 42
Locust Grove, GA 30248-3653
Phone (770) 914-0116

3758 Hwy 42 S
Locust Grove, GA 30248-3653
Phone (770) 914-0116

50 Kelly Rd
Suite 200
McDonough, GA 30253-6097
Phone (770) 914-0116

65 Old Jackson Rd
McDonough, GA 30252-3095
Phone (770) 914-0116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aylo Health, LLC CurrentSince Jun 9, 2008 Accepting new patients
Aylo Health, LLC CurrentSince Jun 9, 2008 Accepting new patients
Aylo Health, LLC Current Accepting new patients
Aylo Health, LLC Past Accepting new patients
Aylo Health, LLC Past Accepting new patients

Locations

1058 Bear Creek Blvd
Hampton, GA 30228
Phone (770) 707-0808

65 Old Jackson Rd
McDonough, GA 30252
Phone (678) 490-0080

2330 Patrick Henry Pkwy
Ste 200
McDonough, GA 30253

145 Eagles Walk
Ste A
Stockbridge, GA 30281
Phone (770) 389-3855

Interoperability endpoints

  • Direct secure messaging: karen.richardsreynolds@elfp.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1699927681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 BEAR CREEK BLVD",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302281849",
            "telephone_number": "770-707-0808",
            "fax_number": "770-707-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 BEAR CREEK BLVD",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302281849",
            "telephone_number": "770-707-0808",
            "fax_number": "770-707-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS-REYNOLDS",
        "first_name": "KAREN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN154504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "918191094A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, GA

Sources for this page

Verify at the official NPI Registry.