Individual provider Active NPI

George M Reynolds, M.D.

  • Cardiovascular Disease Physician
  • Flowood, MS
National Provider Identifier
1700805553
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
10138 Issued in MS
Practice address
1040 River Oaks Dr
Suite 100
Flowood, MS 39232-9530
Phone
(601) 936-5311
Fax
(601) 936-5313
NPI assigned
Jul 19, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 10138 MS Primary

Addresses

Primary practice location

1040 River Oaks Dr
Suite 100
Flowood, MS 39232-9530

Mailing address

1040 River Oaks Dr
Suite 100
Flowood, MS 39232-9530
Phone (601) 936-5311

Other identifiers 4

IdentifierTypeStateIssuer
753068151OtherUHC
00012187MedicaidMS
753068151OtherMHP
753068151016OtherTRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081006000524 MS Practitioner - Cardiovascular Disease (Cardiology) 1658449590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Vanderbilt University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

148 Daughdrill Sta
Flowood, MS 39232-8406
Phone (601) 708-8390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10138MSMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reynolds Cardiology PLLC Cardiovascular Disease CurrentSince Oct 1, 2020 Accepting new patients
Brandon Hma LLC Past Accepting new patients
Montfort Jones Memorial Hospital Past Accepting new patients

Locations

148 Daughdrill Station
Flowood, MS 39232
Phone (601) 708-8390

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1700805553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 RIVER OAKS DR",
            "address_2": "SUITE 100",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329530",
            "telephone_number": "601-936-5311",
            "fax_number": "601-936-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 RIVER OAKS DR",
            "address_2": "SUITE 100",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329530",
            "telephone_number": "601-936-5311",
            "fax_number": "601-936-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "GEORGE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "10138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "753068151",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00012187",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHP",
            "identifier": "753068151",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "753068151016",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.