Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jenna Leanne Reid, PA-C

Individual provider Physician Assistant · NPI 1699220905

Jenna Leanne Reid, PA-C is a Physician Assistant in Southaven, Mississippi. Qualified in 2016, 10 years ago. Practices with Conrad Pearson Clinic PC, a 22-clinician group, works from 3 locations and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

125 Guthrie Dr
Southaven, MS 38671-5829
Phone: (662) 349-1964
Fax: (901) 763-4305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1325 Wolf Park Dr Ste 102, Germantown, TN 38138-1759 — (901) 252-3400
  • 3145 Players Club Pkwy, Memphis, TN 38125-8835 — (901) 763-4305

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1699220905
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 17, 2016
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Conrad Pearson Clinic Pc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Southaven