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

Mrs. Leisa Alexander Reynolds, APRNNP-C

Individual provider Family Nurse Practitioner · NPI 1356871479

Mrs. Leisa Alexander Reynolds, APRNNP-C is a Nurse Practitioner in Greenwood, South Carolina. Qualified in 2017, 9 years ago. Practices with Self Regional Healthcare, a 156-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
9
Licensed in
SC
In the registry since
2017

Practice location Address checks out

105 Vinecrest Ct Ste 300
Greenwood, SC 29646-8031
Phone: (864) 223-6625
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 21054 (SC)

Record details

NPI number1356871479
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRNNP-C
Sole proprietorNo
NPI enumeratedJune 13, 2017
Last updated in NPPESDecember 14, 2021
Certification dateDecember 14, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Self Regional Healthcare — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Greenwood