Nicholas Peter Kevin Reynolds, BSRN - Registered Nurse in Conyers, GA

Nicholas Peter Kevin Reynolds, BSRN is a Registered Nurse - Critical Care Medicine based in Conyers, Georgia. Nicholas Peter Kevin Reynolds is licensed to practice in Georgia (license number RN278989) and his current practice location is 2075 Channing Dr, Conyers, Georgia. He can be reached at his office (for appointments etc.) via phone at (646) 515-6037.

NPI number for Nicholas Peter Kevin Reynolds is 1942031216 and his current mailing address is 2075 Channing Dr, Conyers, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942031216.

Contact Information

Nicholas Peter Kevin Reynolds, BSRN
2075 Channing Dr,
Conyers, GA 30094-4164
(646) 515-6037
Not Available

Map and Direction




Provider's Profile

Full NameNicholas Peter Kevin Reynolds
GenderMale
SpecialityRegistered Nurse - Critical Care Medicine
Location2075 Channing Dr, Conyers, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1942031216
  • Provider Enumeration Date: 08/09/2024
  • Last Update Date: 08/09/2024

Medical Identifiers

Medical identifiers for Nicholas Peter Kevin Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942031216NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0200XRegistered Nurse - Critical Care Medicine 800391 (New York)Secondary
163WC0200XRegistered Nurse - Critical Care Medicine RN278989 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicholas Peter Kevin Reynolds is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicholas Peter Kevin Reynolds, BSRN
2075 Channing Dr,
Conyers, GA 30094-4164

Ph: (646) 515-6037
Nicholas Peter Kevin Reynolds, BSRN
2075 Channing Dr,
Conyers, GA 30094-4164

Ph: (646) 515-6037

Reviews and Comments


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