Reynolds Cardiology PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

REYNOLDS CARDIOLOGY PLLC

Practice address

309A Morrison Dr
Clinton, MS 39056-5239

Phone

(601) 708-8309

Fax

(601) 708-8391

NPI assigned

Nov 20, 2020

Organization subpart

No

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

Authorized official

Name

Harold Ingram, MBA

Title

Administrator

Phone

(601) 420-0141

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George M Reynolds, M.D.

  • Cardiovascular Disease Physician
  • Flowood, MS
  • NPI 1700805553
  Medicare reassignment NPD

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1770186702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309A MORRISON DR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565239",
            "telephone_number": "601-708-8390",
            "fax_number": "601-708-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309A MORRISON DR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565239",
            "telephone_number": "601-708-8309",
            "fax_number": "601-708-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLDS CARDIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-420-0141",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Reeves
• Reliable Hands LLC
• Reliablehands LLC
• William C Renfrow
• Revive Pelvic Health & Physical Therapy LLC (Revive Pelvic Health and Physical Therapy)
• Amy Nicole Reynolds
• Ashley Rhoads, PHARMD
• Christina Rhodes-Fleming
• Scott Whitten Rhodes, DPT
• Candace Lashell Riddley, LCSW

• Cardiovascular Disease Physician in Clinton, MS
• Providers in Clinton, MS by specialty
• Cardiovascular Disease Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.