JEFFREY D REYNOLDS LLC
NPI 1376320531
Point of Service in Groveland, FL

Active since September 12, 2023
16627 PABLO ISLAND DRIVE, GROVELAND, FL 34736(352) 777-9887 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jeffrey D Reynolds Llc NPPES

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

JEFFREY D REYNOLDS LLC (NPI 1376320531) is a healthcare organization registered as a point of service in Groveland, Florida and active in the NPI registry since September 2023. The organization lists Jeffrey D Reynolds, Owner, as its authorized official.

NPPES Registry Identity

NPI1376320531
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameJEFFREY D REYNOLDS LLC
Location Address16627 PABLO ISLAND DRIVEGroveland, FL 34736-9238
Mailing Address16627 Pablo Island DriveGroveland, FL 34736-9238 · (352) 777-9887
Organization SubpartNo
Authorized OfficialJeffrey D ReynoldsOwner · (352) 777-9887
Enumeration DateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
✔ NPI 1376320531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
16627 PABLO ISLAND DRIVE, Groveland, FL 34736

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey D Reynolds Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jeffrey D Reynolds LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1962565812
1041 45TH ST
West Palm Beach, FL 33407
(561) 383-8000
✔ PECOS✔ Accepts Medicare168 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jeffrey D Reynolds LLC's NPI number?

The NPI number for Jeffrey D Reynolds LLC is 1376320531. It was assigned to this organization in the NPPES registry on September 12, 2023.

Where is Jeffrey D Reynolds LLC located?

Jeffrey D Reynolds LLC is located at 16627 Pablo Island Drive, Groveland, FL 34736. The listed phone number is (352) 777-9887.

What is Jeffrey D Reynolds LLC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Is Jeffrey D Reynolds LLC enrolled in Medicare?

Yes. Jeffrey D Reynolds LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jeffrey D Reynolds LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Jeffrey D Reynolds LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey D Reynolds LLC was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.