Stacy T Reynolds (NPI# 1699961870, PAC ID# 5294807681) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1699961870 |
| PAC ID by PECOS | 5294807681 |
| Professional Enrollment ID | I20080630000359 |
| Full Name | Stacy T Reynolds |
| Organization Legal Name | DEKALB WOMENS SPECIALISTS |
| Address |
2633 N Decatur Rd Decatur GA 30033-6103 |
| Phone Number | 4045082000 |
| Gender | F |
| Medical School | MOREHOUSE SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 1951398619 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110076 | DEKALB MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2633 N Decatur Rd, Decatur, GA 30033-6103 | 4045082000 | DEKALB WOMENS SPECIALISTS |
| 8052 Mall Pkwy, Suite 202, Lithonia, GA 30038-2649 | 4045082000 | DEKALB WOMENS SPECIALISTS |
| Organization Legal Name | DEKALB WOMENS SPECIALISTS |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen S Johnson | Obstetrics/gynecology | Dekalb Womens Specialists | 5295 Stone Mountain Hwy, Suite N, Stone Mountain, GA 30087 |
| Albert Scott Jr. | Obstetrics/gynecology | Dekalb Womens Specialists | 5295 Stone Mountain Hwy, Suite N, Stone Mountain, GA 30087 |
| Trudy Seivwright | Obstetrics/gynecology | Dekalb Womens Specialists | 5295 Stone Mountain Hwy, Suite N, Stone Mountain, GA 30087 |
| Jessica Je'nae Miller | Nurse Practitioner | Dekalb Womens Specialists | 2633 N Decatur Rd, Decatur, GA 30033-6103 |
| Street Address |
2633 N DECATUR RD |
| City | DECATUR |
| State | GA |
| Zip | 30033-6103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Je'nae Miller | Nurse Practitioner | Dekalb Womens Specialists | 2633 N Decatur Rd, Decatur, GA 30033-6103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen J Ritz | Psychologist, Clinical | 2785 Lawrenceville Hwy, Suite 108, Decatur, GA 30033 | |
| Gretchen L Gibbs | Chiropractic | 2298 Lawrenceville Hwy, Decatur, GA 30033 | |
| Margaret J Brown | Clinical Social Worker | 315 W Ponce De Leon Ave, Suite 245, Decatur, GA 30033 | |
| Susan C Litton | Psychologist, Clinical | 2944 Blackwood Rd, Decatur, GA 30033-1012 | |
| Ramsey E Jackson | Geriatric Medicine | 1647 Colebrook Cir, Decatur, GA 30033-1424 | |
| Robert Woods | Physical Therapy | Decatur Hand and Physical Therapy Specialists Limited Partnership | 575 Dekalb Industial Way, Suite 103, Decatur, GA 30033-1756 |
| Harold Goodrum Jr. | Occupational Therapy | Decatur Hand and Physical Therapy Specialists Limited Partnership | 575 Dekalb Industial Way, Suite 103, Decatur, GA 30033-1756 |
| Dorie Sokol | Occupational Therapy | Decatur Hand and Physical Therapy Specialists Limited Partnership | 575 Dekalb Industial Way, Suite 103, Decatur, GA 30033-1756 |
| Bethani Walsh | Physical Therapy | Decatur Hand and Physical Therapy Specialists Limited Partnership | 575 Dekalb Industial Way, Suite 103, Decatur, GA 30033-1756 |
| Joseph T Elder | Psychologist, Clinical | 1439 Mclendon Dr, D, Decatur, GA 30033-1841 | |
| Find all physicians in zip 30033 | |||
| City | DECATUR |
| Zip Code | 30033 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | DECATUR + OBSTETRICS/GYNECOLOGY |
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| 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.