Individual provider Active NPI

George Mathew Reynolds, APRN-C

  • Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1992177828
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5008559 Issued in NC
Practice address
2085 Frontis Plaza Blvd
Winston Salem, NC 27103-5614
Phone
(336) 718-0050
Fax
(704) 316-0649
NPI assigned
Oct 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5008559 NC Primary
Family Nurse Practitioner 363LF0000X 19689 SC

Addresses

Primary practice location

2085 Frontis Plaza Blvd
Winston Salem, NC 27103-5614

Mailing address

PO Box 604042
Charlotte, NC 28260-4042

Other practice location 1

1393 Celanese Road
Riverview Medical Center
Rock HIll, SC 29732
Phone (803) 329-3103

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address greynolds320446@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160711000029 NC Practitioner - Nurse Practitioner 6103118245 Reassigns benefits to 2 organizations
I20210325000407 VA Practitioner - Nurse Practitioner 6103118245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
NH Digital Health Services LLCGroup PAC ID 9537588934, 37 clinicians

Practice addresses (Care Compare)

2085 Frontis Plaza Blvd
Winston Salem, NC 27103-5614
Phone (704) 316-4136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5008559NCMDNurse Practitioner
19689SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NH Digital Health Services, LLC CurrentSince Sep 1, 2020 Accepting new patients
NH Digital Health Services, LLC CurrentSince Sep 1, 2020 Accepting new patients
NH Digital Health Services, LLC CurrentSince Feb 1, 2021 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 28, 2016 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 28, 2016 Accepting new patients

Locations

1730 E Woodlawn Rd
Ste D
Charlotte, NC 28209
Phone (704) 384-1550

200 Greenwich Rd
Charlotte, NC 28211
Phone (704) 384-8680

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

7903 Providence Rd
Ste 100
Charlotte, NC 28277
Phone (704) 316-4460

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

3545 Whitehall Park Dr
Ste 300
Charlotte, NC 28273
Phone (704) 316-6187

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

2085 Frontis Plaza Blvd
Winston Salem, NC 27103
Phone (336) 277-7226

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.

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1992177828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604042",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 FRONTIS PLAZA BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035614",
            "telephone_number": "336-718-0050",
            "fax_number": "704-316-0649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1393 Celanese Road",
            "address_2": "Riverview Medical Center",
            "address_purpose": "LOCATION",
            "city": "Rock HIll",
            "state": "SC",
            "postal_code": "29732",
            "country_code": "US",
            "telephone_number": "803-329-3103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "GEORGE",
        "middle_name": "MATHEW",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-30",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008559",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19689",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "greynolds320446@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "2085 Frontis Plaza Blvd",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271035614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.