DR. STACY REYNOLDS


Address: 1458 Church St Ste B, Decatur, GA 30030-1672
Phone: 4045082000

DR. STACY REYNOLDS (NPI# 1699961870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699961870
Entity Type Individual
Full Name DR. STACY REYNOLDS
Practice Address 1458 Church St Ste B
Decatur
GA 30030-1672
Mailing Address 2175 Wallace Rd Sw
Atlanta
GA 30331-7758
Practice Telephone 4045082000
Practice Fax Number 4045085012
Mailing Telephone 4044057260
Enumeration Date 2007-09-20
Last Update Date 2020-10-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 058917 GA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
5295 Stone Mountain Hwy Ste N, Stone Mountain, GA 300873439 4045082000 4043770550
8052 Mall Pkwy Ste 202, Lithonia, GA 300382649 4045082000 4043770550
2675 N Decatur Rd, Suite 512, Decatur, GA 300336131 4045082000 4045085560

Other Providers STACY REYNOLDS

NPI Name Taxonomy Address Enumeration
1134726987 Stacy Lynn Reynolds Counselor 112 Shade Crest Ln, Cleveland, TX 77327-4343 2020-10-05
1427545060 Stacy Lizbeth Reynolds Licensed Practical Nurse 2798 Hazelton Ct, Cincinnati, OH 45251-1629 2018-04-19
1477874279 Stacy Lynette Reynolds Registered Nurse 4510 Eva Ln, Batavia, OH 45103-1016 2010-06-15
1255372454 Stacy Gayle Reynolds Specialist 1101 Hillcrest Dr, Woodward, OK 73801-3027 2006-06-09
1588190649 Stacy Reynolds Occupational Therapist 110 W 5th St, Lexington, NE 68850-1903 2017-05-11
1447705066 Stacy Renee Reynolds Occupational Therapist 10-42 Mitchell Ave, Binghamton, NY 13903-1617 2016-08-24
1679931760 Stacy L Reynolds Nurse Practitioner 120 Adcock Rd Ste A, Hot Springs, AR 71913 2016-02-03
1194910299 Stacy Reynolds Emergency Medicine 1000 Blythe Blvd, Charlotte, NC 28203-5812 2007-09-11
1700839065 Stacy L Reynolds Nurse Practitioner 2401 Gillham Rd, Kansas City, MO 64108-4619 2006-05-18

Office Location

Street Address 1458 CHURCH ST STE B
City DECATUR
State GA
Zip Code 30030-1672

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104819689 Kathleen S Johnson Obstetrics & Gynecology 1458 Church St Ste B, Decatur, GA 30030-1672 2005-08-30
1285283762 Swiyyah Harrington Advanced Practice Midwife 1458 Church St Ste B, Decatur, GA 30030-1672 2019-09-08
1619431897 Antoinette Holmes Midwife 1458 Church St Ste B, Decatur, GA 30030-1672 2019-01-22
1336699719 Lori Powers Advanced Practice Midwife 1458 Church St Ste B, Decatur, GA 30030-1672 2016-10-10
1104264183 Jessica Je'nae Thomas Nurse Practitioner 1458 Church St Ste B, Decatur, GA 30030-1672 2013-06-12
1477828622 Diana Julia Calano Advanced Practice Midwife 1458 Church St Ste B, Decatur, GA 30030-1672 2012-03-20
1356664957 Janice Burgin Nurse Practitioner 1458 Church St Ste B, Decatur, GA 30030-1672 2010-03-10
1437324597 Trudy L Seivwright Obstetrics & Gynecology 1458 Church St Ste B, Decatur, GA 30030-1672 2008-04-29
1225085475 Dekalb Women's Specialists Obstetrics & Gynecology 1458 Church St Ste B, Decatur, GA 30030-1672 2006-05-30
1306839808 Albert Scott Jr. Obstetrics & Gynecology 1458 Church St Ste B, Decatur, GA 30030-1672 2005-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801413174 Pa-c Surgical Assist, LLC Clinic/Center 520 W Ponce Leon Ave #1706, Decatur, GA 30030 2020-07-02
1417587478 Elizabeth Heffron Acupuncturist 619b East College Avenue, Decatur, GA 30030 2020-01-17
1669016143 Atlanta Upper Cervical Chiropractic LLC Chiropractor 125 E Trinity Place, Suite #247, Decatur, GA 30030 2019-10-29
1831757418 Jessica Stewart Counselor 755 Commerce Dr Ste 903, Decatur, GA 30030 2019-05-30
1699238733 Dinah Augustin Registered Nurse 1458 Church St., Unit B, Decatur, GA 30030 2019-04-06
1093284291 Eliza Segell Social Worker 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 2018-11-16
1912476466 Positive Impact Health Centers, Inc. Pharmacy 523 Church Street, Suite B, Decatur, GA 30030 2018-11-14
1932685096 T2 Imaging Radiology 1376 Church Street, Suite 100, Decatur, GA 30030 2018-07-12
1992292858 Keeanna M Powell Counselor Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 2018-04-17
1780185488 Solutions Ae Inc Counselor One West Square Court, Suite 710, Decatur, GA 30030 2018-02-27
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770957177 Xochitl Dupre Obstetrics & Gynecology 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 2015-11-23
1386038214 Elise Rebecca Clem Obstetrics & Gynecology 1874 Beltline Rd Sw Ste 105, Decatur, AL 35601-5514 2015-03-28
1659787893 Stephanie Marie Kanitsch Obstetrics & Gynecology 544 W Pershing Rd Ste A, Decatur, IL 62526 2014-07-09
1336408830 Mishanta Reyes Obstetrics & Gynecology 1215 7th St Se Fl 2, Decatur, AL 35601 2012-05-04
1295027753 Georgia Center for Female Health LLC Obstetrics & Gynecology 3660 Flat Shoals Pkwy Ste 180, Decatur, GA 30034-1632 2011-05-03
1316258056 Sarah E. Winter Obstetrics & Gynecology 544 W Pershing Rd Ste 200, Decatur, IL 62526 2010-06-28
1790916591 Philip C Lynch Obstetrics & Gynecology 867 W Harper Ave, Decatur, IL 62526-3918 2009-07-28
1972744084 Decatur General Hospital Obstetrics & Gynecology 1107 14th Avenue Se, Suite 320, Decatur, AL 35601 2009-03-19
1255583324 Decatur General Hospital Obstetrics & Gynecology 1202 13th Aveneue Se, Decatur, AL 35601 2008-10-21
1851559983 Amy Marie Rodatus Obstetrics & Gynecology 2801 N Decatur Rd Ste 190, Decatur, GA 30033-5924 2008-05-27
Find all providers in DECATUR

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City DECATUR
Zip Code 30030

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Dataset Information

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.

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