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

Mrs. Nicole Marie Reynolds, PA

Individual provider Physician Assistant · NPI 1124376355

Mrs. Nicole Marie Reynolds, PA is a Physician Assistant in Greer, South Carolina. Qualified in 2012, 14 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and South Carolina.

Years since qualifying
14
Licensed in
FL, SC
In the registry since
2012
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

340 Medical Pkwy Ste 200
Greer, SC 29650-2441
Phone: (864) 797-7940
Fax: (864) 797-9402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 48 Centennial Way, Greenville, SC 29605-4662 — (864) 522-8000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3979 (SC)
Physician Assistant Taxonomy 363A00000X · Licence PA9106821 (FL)

Record details

NPI number1124376355
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 20, 2012
Last updated in NPPESOctober 14, 2021
Certification dateOctober 14, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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