DR. STACY REYNOLDS – Obstetrics & Gynecology Physician, NPI 1699961870
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. STACY REYNOLDS
5295 Stone Mountain Hwy Ste N
Stone Mountain, GA 300873439
Phone: (404) 508-2000
Fax: (404) 377-0550
Type: Location
8052 Mall Pkwy Ste 202
Lithonia, GA 300382649
Phone: (404) 508-2000
Fax: (404) 377-0550
Type: Location
2175, Wallace Road Southwest, Enon Forest, Sandtown, Atlanta, Georgia, 30331, United States
ATLANTA, GA 303317758
Phone: (404) 405-7260
Type: Mailing
Church Street, Pleasanton, Decatur County, Iowa, United States
DECATUR, GA 300301672
Phone: (404) 508-2000
Fax: (404) 508-5012
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2008-06-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080630000359 | I | Obstetrics/Gynecology | GA | TBD |
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.
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 30087)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OBSTETRICS/GYNECOLOGY | GA | 81002 | Urinalysis, manual test | 17 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | DE | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA |
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