JEFFREY A REYNOLDS (PA-C) – Physician Assistant, NPI 1508808577

JEFFREY A REYNOLDS (PA-C) is a healthcare provider. based in Cleveland, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 160 (TN). The NPI Number for JEFFREY A REYNOLDS (PA-C) is 1508808577

Main info

Male
41 Years Of Experience
Name
JEFFREY A REYNOLDS (PA-C)
NPI
1508808577
Phone
(423) 479-4165
Address
1060 PEERLESS XING NW STE 200
Enumeration Date
12 June 2006
Last Update Date
16 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4239106100
Graduation Year
1985 (41 years ago)
PAC ID
0840315891
Group Practice PAC ID
8123563392
Professional Enrollment ID
I20100914000553
Address ID
TN373638316OO5038XRDXX301

Contacts

Secure Messaging
jeffrey.reynolds.1@1525.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

3,118 PHYSICIAN ASSISTANT in TN

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Provider Addresses for JEFFREY A REYNOLDS (PA-C)

  • 1060 PEERLESS XING NW STE 200

    CLEVELAND, TN 373123785

    Phone: (423) 479-4165

    Type: Mailing

  • Morristown-Hamblen Healthcare System, 908, West 4th North Street, Morristown, Hamblen County, Tennessee, 37814, United States

    MORRISTOWN, TN 378143894

    Phone: (423) 586-4231

    Fax: (865) 291-3228

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $368.

Total Amount is formed as General ($368) + Research ($0) + Ownership ($0) = $368.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Lilly USA, LLC ($75).

Total Amount

$368

General + Research + Ownership

Payments

21

Total payment records

General Amount

$368

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

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: 2010-09-14

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
I20100914000553IPhysician AssistantTNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes12293$0
99203New patient office or other outpatient visit, 30-44 minutes7070$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)6456$0
87804Detection test by immunoassay with direct visual observation for influenza virus4020$0
81003Automated urinalysis test3431$0
View full utilization report →

Insurance plans in this area (ZIP 37312)

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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: 8123563392View full group profile
NameSpecialtyState
Internal MedicineTN
Nurse PractitionerTN
Nurse PractitionerTN
Orthopedic SurgeryTN
Nurse PractitionerTN
O T O L A R Y N G O L O G YAL
Nurse PractitionerTN
Internal Medicine, Interventional CardiologyTN
Family PracticeTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

What is JEFFREY A REYNOLDS (PA-C)'s NPI number?
JEFFREY A REYNOLDS (PA-C)'s NPI is 1508808577 — the number used across U.S. healthcare to identify this provider.
Is there an active status for JEFFREY A REYNOLDS (PA-C)?
For scheduling context, JEFFREY A REYNOLDS (PA-C) is shown as active in the registry.
What clinical focus is listed for JEFFREY A REYNOLDS (PA-C)?
At a glance, JEFFREY A REYNOLDS (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with JEFFREY A REYNOLDS (PA-C)?
Directory geography for JEFFREY A REYNOLDS (PA-C) centers on Cleveland, Tennessee.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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