Michael B Reynolds (NPI# 1487604021, PAC ID# 2961674338) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1487604021 |
| PAC ID by PECOS | 2961674338 |
| Professional Enrollment ID | I20111006000394 |
| Full Name | Michael B Reynolds |
| Organization Legal Name | LANIER DERMATOLOGY AND SKIN CANCER SPECIALISTS, PC |
| Address |
605 Enota Dr Gainesville GA 30501-2437 |
| Phone Number | 7705380208 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1997 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 0840271235 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110029 | NORTHEAST GEORGIA MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 605 Enota Dr, Gainesville, GA 30501-2437 | 7705380208 | LANIER DERMATOLOGY AND SKIN CANCER SPECIALISTS, PC |
| Organization Legal Name | LANIER DERMATOLOGY AND SKIN CANCER SPECIALISTS, PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin L Smith | Dermatology | Lanier Dermatology and Skin Cancer Specialists, PC | 605 Enota Dr, Gainesville, GA 30501-2437 |
| Jean Marie L Ellis | Physician Assistant | Lanier Dermatology and Skin Cancer Specialists, PC | 605 Enota Dr, Gainesville, GA 30501-2437 |
| Justin R Smith | Physician Assistant | Lanier Dermatology and Skin Cancer Specialists, PC | 605 Enota Dr, Gainesville, GA 30501-2437 |
| Davina S Braselton | Physician Assistant | Lanier Dermatology and Skin Cancer Specialists, PC | 605 Enota Dr, Gainesville, GA 30501-2437 |
| Street Address |
605 ENOTA DR |
| City | GAINESVILLE |
| State | GA |
| Zip | 30501-2437 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin L Smith | Dermatology | Lanier Dermatology and Skin Cancer Specialists, PC | 605 Enota Dr, Gainesville, GA 30501-2437 |
| Jean Marie L Ellis | Physician Assistant | Lanier Dermatology and Skin Cancer Specialists, PC | 605 Enota Dr, Gainesville, GA 30501-2437 |
| Justin R Smith | Physician Assistant | Lanier Dermatology and Skin Cancer Specialists, PC | 605 Enota Dr, Gainesville, GA 30501-2437 |
| Davina S Braselton | Physician Assistant | Lanier Dermatology and Skin Cancer Specialists, PC | 605 Enota Dr, Gainesville, GA 30501-2437 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leroy W Robinson Iii | Optometry | Lanier Eye Associates, LLC | 625 S Enota Nedr, Gainesville, GA 30501 |
| William C Ackerman | Ophthalmology | Lanier Eye Associates, LLC | 625 S Enota Nedr, Gainesville, GA 30501 |
| Julius Nathaniel Skeete | Optometry | 150 Pearl Nix Pkwy, D3a, Gainesville, GA 30501-0001 | |
| William T Crews | Chiropractic | 1864 Thompson Bridge Rd, Gainesville, GA 30501-1119 | |
| Julia H Strong | Clinical Social Worker | 1709 B Cleveland Hwy, Gainesville, GA 30501-1353 | |
| Kathryn W. Dudas | Family Medicine | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Yesenia Delosangeles | Clinical Social Worker | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Christy M Wagner | Family Medicine | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Catherine E Norton | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Jennifer A Roark | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Find all physicians in zip 30501 | |||
| City | GAINESVILLE |
| Zip Code | 30501 |
| Specialty | DERMATOLOGY |
| City + Specialty | GAINESVILLE + DERMATOLOGY |
Please comment or provide details below to improve the information on Michael B Reynolds.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.