Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Joseph C Reynolds II, PA

Individual provider Physician Assistant · NPI 1124061585

Joseph C Reynolds II, PA is a Physician Assistant in Kennesaw, Georgia. Graduated from University of Nebraska College of Medicine in 2007, 19 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group and accepts Medicare assignment. Licensed in Georgia and New York.

Years since qualifying
19
Trained at
University of Nebraska College of Medicine
Licensed in
GA, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

750 Townpark Ln NW Kaiser Permanente Townpark Comprehensive Medical Ctr
Kennesaw, GA 30144-5579
Phone: (770) 514-5401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 47000 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 007884-1 (NY)

Record details

NPI number1124061585
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESJanuary 10, 2022
Certification dateMay 18, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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