| Ashley Reynolds, PA-C | |
|
4316 Old Canton Rd, Jackson, MS 39211-5995 | |
| (601) 543-2712 | |
| Not Available |
| Full Name | Ashley Reynolds |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 4316 Old Canton Rd, Jackson, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538802038 | NPI | - | NPPES |
| PA00650 | Other | MS | MISSISSIPPI BOARD OF MEDICAL LICENSURE |
| 4890 | Other | TN | TENNESSEE BOARD OF MEDICINE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA00650 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Forrest General Hospital | Hattiesburg, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Forrest County General Hospital | 1052397767 | 107 |
| Fgh Trauma Surgery Clinic | 7517916331 | 20 |
| Entity Name | Forrest County General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295837631 PECOS PAC ID: 1052397767 Enrollment ID: O20040624001351 |
| Entity Name | Fgh Trauma Surgery Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427090398 PECOS PAC ID: 7517916331 Enrollment ID: O20050119000801 |
| Entity Name | Fgh Physician Billing |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053469700 PECOS PAC ID: 1850344946 Enrollment ID: O20050301000617 |
| Entity Name | Relias Emergency Medicine Specialists of Hattiesburg LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609409440 PECOS PAC ID: 9032549142 Enrollment ID: O20200413002970 |
| Entity Name | Relias Emergency Medicine Specialists of St Dominic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235808122 PECOS PAC ID: 2466840152 Enrollment ID: O20211029000889 |
| Entity Name | Relias Clinical Decision Specialists of Hattiesburg LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336867415 PECOS PAC ID: 3173998358 Enrollment ID: O20230403000431 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Reynolds, PA-C 4316 Old Canton Rd, Jackson, MS 39211-5995 Ph: (601) 543-2712 | Ashley Reynolds, PA-C 4316 Old Canton Rd, Jackson, MS 39211-5995 Ph: (601) 543-2712 |
Amber Goodman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 970 Lakeland Dr Ste 61, Jackson, MS 39216 Phone: 601-982-7850 Fax: 601-366-8507 |
Stephanie Keith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1659 Lelia Dr, Jackson, MS 39216 Phone: 601-910-3004 Fax: 601-910-3005 |
David Andrew Porter, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 |
Kelsey A North, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Dr Ste 1460, Jackson, MS 39216 Phone: 513-708-4211 |
Mary Allison Durr, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 Fax: 601-914-1835 |
Sarah Joanna Mason, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7275 S Siwell Rd, Jackson, MS 39272 Phone: 601-373-7722 Fax: 601-373-7128 |
Heather Morris, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1190 N State St Ste 502, Jackson, MS 39202 Phone: 601-944-1781 |