STACY LYNN REYNOLDS MD
NPI 1194910299
Pediatrics - Pediatric Emergency Medicine in Charlotte, NC

Q: What is Stacy Reynolds's NPI number?

The NPI number for Stacy Reynolds is 1194910299. It was assigned to this individual provider in the NPPES registry on September 11, 2007.

Q: What is Stacy Reynolds's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Reynolds was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 11, 2007PECOS Enrolled

95.35/100

CMS Quality Rating

1000 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-2171 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 52 more (55 updates tracked since 2016).

On this page

About Stacy Lynn Reynolds Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY LYNN REYNOLDS MD (NPI 1194910299) is an individual pediatric emergency medicine provider in Charlotte, North Carolina, licensed in North Carolina (2008-00675) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194910299

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameSTACY LYNN REYNOLDSCredential: MD

Location Address1000 BLYTHE BLVDCharlotte, NC 28203-5812

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 355-2171

Sole ProprietorNo

Enumeration DateSeptember 11, 2007

Last NPPES UpdateJuly 15, 202455 updates tracked since enumeration

✔ NPI 1194910299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in NC · 2008-00675

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 2008-00675 (NC)

Also ListedPediatricsTaxonomy 208000000X · License 2008-00675 (NC)

1000 BLYTHE BLVD, Charlotte, NC 28203

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Lynn Reynolds Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.22

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ANDREW PAGW MCKUSICK R.PH.

Pharmacist (Nuclear)

1000 BLYTHE BLVD, CAROLINAS MEDICAL CENTER - DEPT OF NUC MED
CHARLOTTE, NC 28203

Mecklenburg County (704) 355-3527

DR. MARIE-CLAIRE MARROUM M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1000 BLYTHE BLVD
CHARLOTTE, NC 28203

Mecklenburg County (704) 355-2251

DR. WAYNE NELS CHRISTENSEN M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1000 BLYTHE BLVD
CHARLOTTE, NC 28203

Mecklenburg County (704) 355-2251

DR. JAMES EMMETT MCDERMOTT M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1000 BLYTHE BLVD
CHARLOTTE, NC 28203

Mecklenburg County (704) 355-2251

DR. SAMUEL ORR M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1000 BLYTHE BLVD
CHARLOTTE, NC 28203

Mecklenburg County (704) 355-2251

AMY L SMITH CRNA

Nurse Anesthetist, Certified Registered

1000 BLYTHE BLVD, CAROLINAS MEDICAL CENTER - ANESTHESIOLOGY
CHARLOTTE, NC 28203

Mecklenburg County (704) 355-2000

DR. JOSHUA SETH MILLER MD

Anesthesiology (Pain Medicine)

1000 BLYTHE BLVD
CHARLOTTE, NC 28203

Mecklenburg County (704) 355-2372

DR. CHARLES DANA HERSHEY MD

Anesthesiology

1000 BLYTHE BLVD, SOUTHEAST ANESTHESIOLOGY CONSULTANTS PA
CHARLOTTE, NC 28203

Mecklenburg County (704) 355-2372

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Reynolds's NPI number?

The NPI number for Stacy Reynolds is 1194910299. It was assigned to this individual provider in the NPPES registry on September 11, 2007.

Where is Stacy Reynolds located?

Stacy Reynolds practices at 1000 Blythe Blvd, Charlotte, NC 28203. The listed phone number is (704) 355-2171.

What is Stacy Reynolds's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Stacy Reynolds enrolled in Medicare?

Yes. Stacy Reynolds is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacy Reynolds was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.