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MR. NICHOLAS REYNAROWYCH MEDICAL STUDENT
NPI 1942040175
Student in an Organized Health Care Education/Training Program in Gainesville, GA

Active since May 27, 2024PECOS Enrolled
1439 JESSE JEWELL PKWY NE STE 202, GAINESVILLE, GA 30501(770) 219-9675(770) 219-9676 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Nicholas Reynarowych Medical Student NPPES

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

MR. NICHOLAS REYNAROWYCH MEDICAL STUDENT (NPI 1942040175) is an individual student in an organized health care education/training program in Gainesville, Georgia and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942040175
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. NICHOLAS REYNAROWYCHCredential: MEDICAL STUDENT
Location Address1439 JESSE JEWELL PKWY NE STE 202Gainesville, GA 30501-3806
Mailing Address743 Spring St Ne Ste 710Gainesville, GA 30501-3715 · (770) 219-8730
Phone(770) 219-9675
Fax(770) 219-9676
Sole ProprietorYes
Enumeration DateMay 27, 2024
Last NPPES UpdateApril 9, 2026
NPPES CertifiedApril 9, 2026
✔ NPI 1942040175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1439 JESSE JEWELL PKWY NE STE 202, Gainesville, GA 30501
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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)

Mr. Nicholas Reynarowych Medical Student 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.

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.

CAMERON JEFFERY CHAPPELL DO
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 202
GAINESVILLE, GA 30501
Hall County (770) 219-9676
MOHAMAD NIDAL HALWANI DO
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 202
GAINESVILLE, GA 30501
Hall County (770) 219-0023
YUHYUN KANG DO
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 202
GAINESVILLE, GA 30501
Hall County (770) 219-9675
MOHAMED AZIZ NEFZI DO
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 202
GAINESVILLE, GA 30501
Hall County (770) 291-0023
TEWOBESTA FESSEHA TESFAYE MD
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 202
GAINESVILLE, GA 30501
Hall County (770) 219-9675
DANNY XIAO
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 202
GAINESVILLE, GA 30501
Hall County (770) 219-9675
MEHAK ZAINAB D.O.
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 202
GAINESVILLE, GA 30501
Hall County (770) 219-9676
JIAQI MI MD
Internal Medicine
1439 JESSE JEWELL PKWY NE STE 202
GAINESVILLE, GA 30501
Hall County (770) 219-0023

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 Nicholas Reynarowych's NPI number?

The NPI number for Nicholas Reynarowych is 1942040175. It was assigned to this individual provider in the NPPES registry on May 27, 2024.

Where is Nicholas Reynarowych located?

Nicholas Reynarowych practices at 1439 Jesse Jewell Pkwy NE Ste 202, Gainesville, GA 30501. The listed phone number is (770) 219-9675.

What is Nicholas Reynarowych's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicholas Reynarowych enrolled in Medicare?

Yes. Nicholas Reynarowych is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Reynarowych was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.