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

Mr. Edward Roger Reynolds Jr., PAC

Individual provider Dermatology Physician · NPI 1013942549

Mr. Edward Roger Reynolds Jr., PAC is a Physician Assistant in Sumter, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 2002, 24 years ago. Practices with Dermatology and Skin Surgery Inc, a 3-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
24
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

560 Constitution Dr Ste 200
Sumter, SC 29154-8175
Phone: (803) 775-4469
Fax: (803) 775-4981
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 771 (SC)

Record details

NPI number1013942549
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Dermatology And Skin Surgery Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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