Active NPI
Jessica Leigh Reynolds, M.D.
- Internal Medicine Physician
- Spartanburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 33622
- Practice address
- 2995 Reidville Rd Ste 210
Spartanburg, SC 29301-5631 - Phone
- (864) 253-8140
- Fax
- (864) 587-0051
- NPI assigned
- Jun 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LL33622 | SC | |
| Internal Medicine Physician | 207R00000X | 33622 | SC | Primary |
Addresses
Primary practice location
2995 Reidville Rd Ste 210
Spartanburg, SC 29301-5631
Mailing address
PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SC77205019 | Other | SC | MEDICARE PIN |
| 336229 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jreynolds179679@direct-srhs.et0939.epichosted.com | 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
- Internal Medicine
- Education
- University of South Carolina School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2995 Reidville Rd
Spartanburg, SC 29301-5628
Phone (864) 253-8140
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33622 | SC | MD | Internal Medicine Physician |
| LL33622 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Internal Medicine | Current | Accepting new patients |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Internal Medicine | Current | Accepting new patients |
| Spartanburg Medical Center | Past | Accepting new patients |
Locations
Taylor At Marion St
Columbia, SC 29220
Phone (803) 296-3097
3 Richland Medical Park Dr
Ste 310
Columbia, SC 29203
Phone (803) 434-8323
14 Richland Medical Park Dr
Ste 320
Columbia, SC 29203
Phone (803) 434-1663
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
2995 Reidville Rd
Spartanburg, SC 29301
Phone (864) 253-8140
853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928
8311 Warren H Abernathy Hwy
Spartanburg, SC 29301
Phone (864) 562-5100
101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554
2995 Reidville Rd
Ste 210
Spartanburg, SC 29301
Phone (864) 253-8140
Interoperability endpoints
- jreynolds179679@direct-srhs.et0939.epichosted.com
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Spartanburg, SC
- NPI 1699729939
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
-
- Family Medicine Physician
- Spartanburg, SC
- NPI 1801365994
Internal Medicine
-
- Physical Medicine & Rehabilitation Physician
- Spartanburg, SC
- NPI 1942188875
-
- Obstetrics & Gynecology Physician
- Spartanburg, SC
- NPI 1376580852
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greer, SC
- NPI 1982800397
-
- Psychiatric Hospital Unit
- Spartanburg, SC
- NPI 1033681630
-
- General Acute Care Hospital
- Spartanburg, SC
- NPI 1609807122
-
- Rehabilitation Hospital Unit
- Spartanburg, SC
- NPI 1942772546
-
- General Acute Care Hospital
- Union, SC
- NPI 1396129201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1861786345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743070",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743070",
"telephone_number": "864-560-4304",
"fax_number": "864-560-4413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2995 REIDVILLE RD STE 210",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293015631",
"telephone_number": "864-253-8140",
"fax_number": "864-587-0051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "JESSICA",
"middle_name": "LEIGH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-02",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "LL33622",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "33622",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "SC77205019",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "336229",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jreynolds179679@direct-srhs.et0939.epichosted.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "jreynolds179679@direct-srhs.et0939.epichosted.com",
"address_1": "2995 Reidville Rd Ste 210",
"city": "Spartanburg",
"state": "SC",
"country_code": "US",
"postal_code": "293015631",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.