Wade D Reynolds DO, LLC
NPI 1518217389 · Primary Care Clinic/Center · Lexington, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wade D Reynolds DO, LLC is a Primary Care Clinic/Center organization in Lexington, SC (NPI 1518217389).
Provider details
- NPI number
- 1518217389
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Wade Reynolds, President(803) 785-4555
- License
- 0417 (SC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Ivy Park Family Medicine
Registry dates
- Enumerated
- 2012-09-19
- Last updated
- 2012-09-19
Frequently asked questions
- What is Wade D Reynolds DO, LLC's NPI number?
- Wade D Reynolds DO, LLC's National Provider Identifier (NPI) is 1518217389, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wade D Reynolds DO, LLC?
- Wade D Reynolds DO, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Wade D Reynolds DO, LLC located?
- Wade D Reynolds DO, LLC's practice location on file with NPPES is 111 Ivy Park Ln, Lexington, SC 29072-8289.
- What is Wade D Reynolds DO, LLC's phone number?
- The practice phone number listed in the NPPES registry for Wade D Reynolds DO, LLC is (803) 785-4555.
- Does Wade D Reynolds DO, LLC accept Medicare?
- Wade D Reynolds DO, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wade D Reynolds DO, LLC?
- The authorized official listed on Wade D Reynolds DO, LLC's NPPES record is Wade Reynolds, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wade D Reynolds DO, LLC's NPI active?
- Yes — Wade D Reynolds DO, LLC's NPI (1518217389) is active in the NPPES registry as of the last update on 2012-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.