ROGER REYNOLDS (NPI# 1952845760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952845760 |
| Entity Type | Individual |
| Full Name | ROGER REYNOLDS |
| Practice Address |
1017 Fayetteville Rd Se Atlanta GA 30316-2932 |
| Mailing Address |
1575 Ridenour Pkwy Nw #1111 Kennesaw GA 30152-4714 |
| Practice Telephone | 6787082518 |
| Mailing Telephone | 6787082518 |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659709 | Roger Wayne Reynolds Sr. | Driver | 14531 Douglas Ln, Abingdon, VA 24210-4827 | 2020-05-06 |
| 1669595484 | Roger Reynolds IIi | Dentist | 3809 Forrestgate Dr Ste A, Winston Salem, NC 27103-2982 | 2007-04-08 |
| 1376687939 | Roger M Reynolds | Social Worker | 1475 Pine Grove Rd., Suite 206, Steamboat Spgs, CO 80487 | 2007-02-16 |
| 1689682254 | Roger Reynolds | Family Medicine | 1825 Maple St, Forest Grove, OR 97116-1939 | 2006-08-03 |
| 1760478747 | Roger I. Reynolds | Pharmacist | 701 Commercial St, Atchison, KS 66002-2434 | 2005-09-23 |
| Street Address |
1017 FAYETTEVILLE RD SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30316-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184945420 | Hasani K Baharanyi | Psychiatry & Neurology | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2010-06-22 |
| 1417572546 | Rayshonna Durham | Social Worker | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2020-06-15 |
| 1528693108 | Bertrand Brown | Social Worker | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2020-03-04 |
| 1629603295 | Samantha Marie Martinez | Social Worker | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2020-03-04 |
| 1467084020 | Lindsay Michelle Mitchiner | Counselor | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2020-02-11 |
| 1013547660 | Alexis Flen | Counselor | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2020-01-23 |
| 1316582034 | Davril Miranni Huggins-looby | Counselor | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2019-11-18 |
| 1215572912 | Shanelle Thomasina Smith | Counselor | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2019-11-18 |
| 1528618881 | Akosua Frampton | Counselor | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2019-09-18 |
| 1619520343 | Erica Paschel | Counselor | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2019-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156923 | Rakiya Williams | Counselor | 1030 Fayetteville Rd., Atlanta, GA 30316 | 2019-10-23 |
| 1215585815 | Madison Victoria Baugh | Counselor | Chris180, 1030 Fayetteville Rd, Atlanta, GA 30316 | 2019-08-28 |
| 1265089460 | Josee Dominque Muldrew | Counselor | 1030 Fayetteville Rd. Se, Atlanta, GA 30316 | 2019-08-22 |
| 1255984241 | Monique Overstreet | Counselor | 1030 Fayetteville Road, Atlanta, GA 30316 | 2019-07-19 |
| 1023573979 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 905 Memorial Drive Se, Atlanta-fulton, GA 30316 | 2019-02-05 |
| 1740726454 | Jimmy Brian Sambula | Behavior Technician | 1017 Fayetteville Rd. Se, Atlanta, GA 30316 | 2017-01-19 |
| 1033665039 | Liberty Group Senior Services | Clinic/Center | 1879 Glenwood Avenue, Atlanta, GA 30316 | 2016-08-30 |
| 1043673650 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 800 Glenwood Ave Se, Atlanta, GA 30316 | 2016-03-31 |
| 1992143382 | Ayodele Osasona | Surgery | 2004 Oak Terrace Dr Se, Atlanta, GA 30316 | 2013-06-07 |
| 1891945721 | Denise Renee Cagle | Social Worker | 1471 Town Country Dr Se, Atlanta, GA 30316 | 2008-09-28 |
| Find all providers in zip 30316 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653890 | Chosen Care, Inc. | Case Manager/Care Coordinator | 5202 Forest Springs Dr, Atlanta, GA 30338-3506 | 2020-09-11 |
| 1811519069 | Tasheika Vinson | Case Manager/Care Coordinator | 2905 E Point St # 91046, Atlanta, GA 30344-4202 | 2020-05-11 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1922658939 | Jasmine Allecia Lowery | Case Manager/Care Coordinator | 7741 Roswell Rd Ste 101, Atlanta, GA 30350-4845 | 2019-09-12 |
| 1730646522 | Revenue Cycle and Managed Care Consulting LLC | Case Manager/Care Coordinator | 342 Nelson St Sw Unit 220, Atlanta, GA 30313-1341 | 2019-02-27 |
| 1861970501 | Kristy Andrews | Case Manager/Care Coordinator | 485 County Road 3319, Atlanta, TX 75551-5539 | 2018-08-03 |
| 1326545534 | Teri Lynn Hill | Case Manager/Care Coordinator | 2300 Global Forum Blvd Apt 511, Atlanta, GA 30340 | 2018-04-12 |
| 1659874493 | Gift Transitional Home, Inc. | Case Manager/Care Coordinator | 2001 Martin Luther King Jr Dr Sw Ste 420, Atlanta, GA 30310-5806 | 2018-03-16 |
| 1902309206 | Ladinea James | Case Manager/Care Coordinator | 3200 Lenox Rd Ne Apt D409, Atlanta, GA 30324-2662 | 2018-03-13 |
| 1194235150 | Lee Angelia Moses | Case Manager/Care Coordinator | 330 Auburn Pointe Dr Se Unit 8306, Atlanta, GA 30312-1778 | 2017-10-04 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.