MADISON RAE REYNOLDS – Physician Assistant, NPI 1033946090

MADISON RAE REYNOLDS is a healthcare provider. based in Bloomsdale, Missouri. specializing in PHYSICIAN ASSISTANT. The NPI Number for MADISON RAE REYNOLDS is 1033946090

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MADISON RAE REYNOLDS
NPI
1033946090
Phone
Not provided
Address
548 CLEMENT RD
Enumeration Date
16 September 2024
Last Update Date
16 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9123427112
Graduation Year
2024 (2 years ago)
PAC ID
9032646187
Group Practice PAC ID
9931427002
Professional Enrollment ID
I20241231002043
Address ID
GA315204851BR3231XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for MADISON RAE REYNOLDS

  • 548 CLEMENT RD

    BLOOMSDALE, MO 636279113

    Phone:

    Type: Mailing

  • 210 E DERENNE AVE

    SAVANNAH, GA 314056736

    Phone: (912) 644-5300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $57.

Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: VERTEX PHARMACEUTICALS INCORPORATED ($37).

Total Amount

$57

General + Research + Ownership

Payments

2

Total payment records

General Amount

$57

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2025-04-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20241231002043IPhysician AssistantGATBD
I20250410002164IPhysician AssistantSCTBD

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 63627)

Loading plans...

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: 9931427002View full group profile
NameSpecialtyState
-GA
Orthopedic SurgeryGA
Physician AssistantSC
Physical Therapist In Private PracticeGA
Occupational Therapist In Private PracticeTX
Physical Therapist In Private PracticeGA
Family PracticeGA
Physical Therapist In Private PracticeGA
Occupational Therapist In Private PracticeGA
Nurse PractitionerGA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for MADISON RAE REYNOLDS?
The registry entry for MADISON RAE REYNOLDS shows NPI 1033946090.
Should I treat MADISON RAE REYNOLDS as an active provider?
Patients and plans typically see MADISON RAE REYNOLDS as active in the national extract.
What type of care does MADISON RAE REYNOLDS provide?
MADISON RAE REYNOLDS's profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MADISON RAE REYNOLDS?
MADISON RAE REYNOLDS is associated with Bloomsdale, Missouri in the same public data insurers reference.
Who maintains MADISON RAE REYNOLDS's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

MR. PAUL W JENKINS (PA-C)

Surgical Physician Assistant
Wornall Road, Indian Village, Kansas City, Jackson County, Missouri, 64114, United States
NPI: 1477556215

MR. JEREMY D DUNBARR (P.A.)

Physician Assistant
3915 WATSON RD STE 202
NPI: 1831191014
McClelland Boulevard, Joplin, Newton County, Missouri, 64804, United States
NPI: 1528063807

JAMIE LYNN SHEDELBOWER (PA)

Physician Assistant
John Cochran Division - VA St. Louis Health Care System, 915, North Grand Boulevard, Covenant Blu Grand Center, City of Saint Louis, Missouri, 63106, United States
NPI: 1033115480

MR. LAWRENCE MCCLINTON (PA)

Surgical Physician Assistant
3691 RUTGER ST
NPI: 1427055961

BRYON J WITZEL (PA-C)

Physician Assistant
621, South New Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States
NPI: 1528065844
2450 LOUISIANA ST STE 400-219
NPI: 1407854110

MR. JASON B GAY (PA-C)

Physician Assistant
Clayton Road, Clayton, Saint Louis County, Missouri, 63017, United States
NPI: 1518964378
1475 KISKER RD STE 200
NPI: 1245238401