Individual provider Active NPI

Reynolds P McCain, M.D.

  • Specialist
  • Columbus, MS
National Provider Identifier
1922111459
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
09735 Issued in MS
Practice address
516 Lincoln Rd # B
Golden Triangle Neurology Clinic
Columbus, MS 39705-2226
Phone
(662) 327-2700
Fax
(662) 327-1242
NPI assigned
Aug 17, 2006
Last updated
Oct 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 09735 MS Primary

Addresses

Primary practice location

516 Lincoln Rd # B
Golden Triangle Neurology Clinic
Columbus, MS 39705-2226

Mailing address

516 B Lincoln Road
Golden Triangle Neurology Clinic
Columbus, MS 39705-2226
Phone (662) 327-2700

Other identifiers 1

IdentifierTypeStateIssuer
00117038MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1922111459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 B LINCOLN ROAD",
            "address_2": "GOLDEN TRIANGLE NEUROLOGY CLINIC",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052226",
            "telephone_number": "662-327-2700",
            "fax_number": "662-327-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 LINCOLN RD # B",
            "address_2": "GOLDEN TRIANGLE NEUROLOGY CLINIC",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052226",
            "telephone_number": "662-327-2700",
            "fax_number": "662-327-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAIN",
        "first_name": "REYNOLDS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "09735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00117038",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.