Regina Hafford Puissant

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

52 Golf Course Rd
Hawkinsville, GA 31036-6101

Phone

(478) 954-9385

Fax

(478) 934-4409

NPI assigned

May 23, 2014

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Beginnings at Home

  • Case Management Agency
  • Dublin, GA
  • NPI 1033954300
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 23, 2014.

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400803200000",
    "number": "1043622129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 GOLF COURSE RD",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310366101",
            "telephone_number": "478-954-9385",
            "fax_number": "478-934-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 GOLF COURSE RD",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310366101",
            "telephone_number": "478-954-9385",
            "fax_number": "478-934-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUISSANT",
        "first_name": "REGINA",
        "middle_name": "HAFFORD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-23",
        "last_updated": "2014-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Kate Pope, PA-S
• Amanda Pradarits, PHARMD
• Progressive Long Term Care
• Progressive Long Term Care, LLC
• Project Hope for Families Inc
• Pulaski County Board of Education
• Pulaski County Health Department
• Pulaski State Prison Regional Pharmacy
• Alisha M Register, NP
• Trayana Niema Releford, RBT

• All providers in Hawkinsville, GA
• Case Manager/Care Coordinator in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.