PAUL THOMAS REYNOLDS (M.D.) – Gastroenterology Physician, NPI 1184980492

PAUL THOMAS REYNOLDS (M.D.) is a healthcare provider. based in Jonesboro, Georgia. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 74084 (GA). The NPI Number for PAUL THOMAS REYNOLDS (M.D.) is 1184980492

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
PAUL THOMAS REYNOLDS (M.D.)
NPI
1184980492
Phone
(615) 337-6920
Address
2400 MOUNT ZION PKWY
Enumeration Date
11 April 2012
Last Update Date
13 April 2022

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
7706033685
Graduation Year
2012 (14 years ago)
PAC ID
8224333505
Group Practice PAC ID
6204829013
Professional Enrollment ID
I20181115001195
Address ID
GA302362500JO2400XPKWY400

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

525 GASTROENTEROLOGY in GA

Provider Addresses for PAUL THOMAS REYNOLDS (M.D.)

  • 2400 MOUNT ZION PKWY

    JONESBORO, GA 30236

    Phone: (615) 337-6920

    Type: Location

  • 1648 Pierce Dr Ste 327

    Atlanta, GA 303220001

    Phone: (615) 337-6920

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $126.

Total Amount is formed as General ($126) + Research ($0) + Ownership ($0) = $126.

Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Janssen Scientific Affairs, LLC ($126).

Total Amount

$126

General + Research + Ownership

Payments

1

Total payment records

General Amount

$126

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-11-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181115001195IGastroenterologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30236)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204829013View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm PAUL THOMAS REYNOLDS (M.D.)'s NPI?
Yes. PAUL THOMAS REYNOLDS (M.D.) is listed with NPI 1184980492 in the public NPI dataset.
Does CMS list PAUL THOMAS REYNOLDS (M.D.) as active?
Yes — PAUL THOMAS REYNOLDS (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes PAUL THOMAS REYNOLDS (M.D.)?
For research purposes, treat PAUL THOMAS REYNOLDS (M.D.) as Gastroenterology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect PAUL THOMAS REYNOLDS (M.D.) on a map?
Expect Jonesboro, Georgia as a primary anchor for PAUL THOMAS REYNOLDS (M.D.) unless the record lists multiple sites.
Why does PAUL THOMAS REYNOLDS (M.D.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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