SHEA ELIZABETH REYNOLDS
NPI 1235728353
Nurse Practitioner in Kennesaw, GA

NPI Status: Active since January 13, 2021

Contact Information

1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA
ZIP 30152
Phone: (770) 702-1806

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  • Individual
  • Female
  • Years of Experience 6
  • Nurse Practitioner
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About SHEA REYNOLDS

This page provides the complete NPI Profile along with additional information for Shea Reynolds, a provider established in Kennesaw, Georgia with a medical specialization in Nurse Practitioner and more than 6 years of experience. She graduated from University Of South Alabama College Of Medicine in 2020. The healthcare provider is registered in the NPI registry with number 1235728353 assigned on January 2021. The practitioner's primary taxonomy code is 363L00000X with license number RN223462 (GA). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1235728353
Provider Name
SHEA ELIZABETH REYNOLDS
Gender
Female
Entity Type
Individual
Location Address
1300 RIDENOUR BLVD NW STE 300 KENNESAW, GA 30152
Location Phone
(770) 702-1806
Mailing Address
1300 RIDENOUR BLVD NW STE 300 KENNESAW, GA 30152
Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year
2020
Is Sole Proprietor?
No
Enumeration Date
01-13-2021
Last Update Date
01-13-2021
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A nurse practitioner (NP) like Shea Reynolds is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
RN223462
License State
GA
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Medicare Participation & PECOS Enrollment Status

Shea Reynolds is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Shea Reynolds is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6507274800

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20210427001454

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 42 times for 37 patients

Follow-up hospital inpatient care per day, typically 15 minutes

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

This service was performed 222 times for 205 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 136 times for 136 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 27 times for 27 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 30152 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $88.06
  • Minimum New Patient Price $56.84
  • Maximum New Patient Price $172.43
  • Average New Patient Copayment $22.01
  • Minimum New Patient Copayment $14.21
  • Maximum New Patient Copayment $43.1

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.2
  • Minimum Established Patient Price $18.22
  • Maximum Established Patient Price $140.4
  • Average Established Patient Copayment $25.05
  • Minimum Established Patient Copayment $4.55
  • Maximum Established Patient Copayment $35.1

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Shea Reynolds is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
WELLSTAR COBB MEDICAL CENTER3950 AUSTELL RD
AUSTELL, GA 30106
(770) 732-4000Acute Care Hospitals

Reviews for SHEA ELIZABETH REYNOLDS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235728353
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
226514216310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 1 + 4 + 2 + 1 + 6 + 3 + 1 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1235728353 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376785600DR. GRANT ADAM DOORNBOS M.D.
Individual
Anesthesiology1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
(770) 702-1806
1619449618MS. WHITNEY NICOLE SNOW FNP
Individual
Nurse Practitioner (Family)1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
(770) 702-1806
1699041863DR. JERRY TEE TODD M.D.
Individual
Anesthesiology1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
(770) 634-4215
1710553474 JESSICA HATFIELD RANDALL CRNA
Individual
Nurse Anesthetist, Certified Registered1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
(770) 702-1806
1104588839 MELODY BOLTON
Individual
Anesthesiology1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
(985) 722-7993
1538892146 SARAH JORDAN KABASE CRNA
Individual
Nurse Anesthetist, Certified Registered1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
(770) 702-1806
1609390103MAK ANESTHESIA NORTHSIDE AFFILIATES, LLC
Organization
Anesthesiology1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
(770) 702-1806
1194161158 KATELYN E LONGACRE CRNA
Individual
Nurse Anesthetist, Certified Registered1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
(770) 702-1806
1134778939 KAELI SURILLA DAILEY
Individual
Anesthesiologist Assistant1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
(770) 702-1806
1174937320 DAISY TAMBE JEAN-PIERRE CRNA
Individual
Nurse Anesthetist, Certified Registered1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
(770) 702-1806
1457665002MRS. ANIK ANITA HAYAT M.D.
Individual
Anesthesiology1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
(770) 702-1806
1184859340 HENRY RACHAL III M.D.
Individual
Anesthesiology1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
(770) 693-0810
1548866114MRS. SHANA BROOKE BRADLEY RN
Individual
Nurse Anesthetist, Certified Registered1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
(770) 702-1806
1922833193 JORDAN VICTORIA BURNS FNP
Individual
Nurse Practitioner1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
(770) 702-1806
1730903253 GREGORY PAUL SINGLETON AA
Individual
Anesthesiologist Assistant1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
(770) 693-0810

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235728353, enumerated in the NPI registry as an "individual" on January 13, 2021

The provider is located at 1300 Ridenour Blvd Nw Ste 300 Kennesaw, Ga 30152 and the phone number is (770) 702-1806

The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X

The provider has more than 6 years of experience. She graduated from University Of South Alabama College Of Medicine in 2020.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $88.06 with an average copayment of $22.01 for new patient appointments. Established patients should expect a typical charge of $100.2 and an average copayment of 25.05. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 40-54 minutes, Follow-up hospital inpatient care per day, typically 15 minutes, New patient office or other outpatient visit, 45-59 minutes and New patient office or other outpatient visit, 60-74 minutes.

The practitioner is affiliated to the following hospital(s): WELLSTAR COBB MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on January 13, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.