Individual provider

Sheila Reynolds, O

Preferred Provider Organization Social Worker Community Health Worker

Sheila Reynolds, O is a provider specialising in Preferred Provider Organization in Sparta, GA, registered under NPI 1285913194. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 3981 SPRINGFIELD RD, Sparta, GA 31087. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3981 SPRINGFIELD RD, Sparta, GA 31087 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
033924586 GA Preferred Provider Organization primary
372600000X GA Social Worker
033924586 GA Community Health Worker

This provider holds licence 033924586 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Preferred Provider Organization covers

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. NUCC Health Care Provider Taxonomy, code 305R00000X
Managed Care Organizations Preferred Provider Organization

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
305R00000X Preferred Provider Organization 033924586 GA primary
104100000X Social Worker 372600000X GA
172V00000X Community Health Worker 033924586 GA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1285913194 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 9, 2011
Last updatedAug 9, 2011
StatusActive
Sole proprietorYes
CredentialO
Practice address 3981 SPRINGFIELD RD
Sparta, GA 31087
(706) 486-4051
Mailing address 3981 SPRINGFIELD ROADD
Sparta, GA 31087
Other identifiers 033924586 · Medicaid (GA)
This record was last updated on Aug 9, 2011, roughly 15 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1285913194 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 8 5 9 1 3 1 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 7 5 9 1 6 1 9

Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1285913194?
NPI 1285913194 is the National Provider Identifier assigned to Sheila Reynolds, O in Sparta, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Preferred Provider Organization cover?
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
How do I contact Sheila Reynolds, O?
The phone number on file with NPPES is (706) 486-4051, last updated Aug 9, 2011. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1285913194 a valid number?
Yes. 1285913194 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.