NPIMap

Individual provider Active NPI

Jarrod Reynolds, M.D.

  • Internal Medicine Physician
  • McClellanville, SC
National Provider Identifier
1912007105
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
82614 Issued in GA
Practice address
1189 Tibwin Road
McClellanville, SC 29458-9405
Phone
(843) 887-3274
Fax
(843) 887-3929
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 82614 GA Primary
Pediatrics Physician 208000000X 27091 SC

Addresses

Primary practice location

1189 Tibwin Road
McClellanville, SC 29458-9405

Mailing address

P.O. Box 608
McClellanville, SC 29458-0608
Phone (843) 887-3274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100223000730 SC Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Pediatric Medicine 4880738269 Reassigns benefits to 9 organizations
I20190723002605 GA Practitioner - Internal Medicine 4880738269 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Morehouse School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Impact Physician Group South Carolina LLCGroup PAC ID 9638579352, 7 clinicians
Southeastern Hospitalist Services PCGroup PAC ID 3476855420, 301 clinicians
Beaufort County Memorial HospitalGroup PAC ID 7810809365, 197 clinicians

Practice addresses (Care Compare)

20 Pinnacle Pkwy
Elgin, SC 29045-8389
Phone (260) 407-8007

809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1000

955 Ribaut Rd
Beaufort, SC 29902-5441
Phone (843) 522-5775

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort County Memorial Hospital CurrentSince Dec 24, 2025 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Oct 4, 2015 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Jan 2, 2018 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Dec 25, 2018 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Internal Medicine CurrentSince Oct 4, 2015 Accepting new patients
Southeastern Hospitalist Services PC Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Dec 24, 2025 Accepting new patients
Sound Physicians of South Carolina, LLC Internal Medicine CurrentSince Oct 15, 2019 Accepting new patients
Coffee County Hospitalist Physicians, LLC CurrentSince Jun 3, 2019 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties Internal Medicine Current Accepting new patients
24 On Physicians of SC, LLC CurrentSince Mar 17, 2020 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Jan 2, 2018 Accepting new patients
Grand Strand Regional Medical Center LLC Past Accepting new patients

Locations

1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

955 Ribaut Rd
#C
Beaufort, SC 29902

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

5050 Highway 17 Byp S
Myrtle Beach, SC 29588
Phone (843) 449-6521

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

501 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-2000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0fba742b-eec1-4103-87e5-edbdf1fe1e30/

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1912007105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 608",
            "city": "MCCLELLANVILLE",
            "state": "SC",
            "postal_code": "294580608",
            "telephone_number": "843-887-3274",
            "fax_number": "843-887-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 TIBWIN ROAD",
            "city": "MCCLELLANVILLE",
            "state": "SC",
            "postal_code": "294589405",
            "telephone_number": "843-887-3274",
            "fax_number": "843-887-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JARROD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "82614",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "27091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McClellanville, SC

Sources for this page

Verify at the official NPI Registry.