Regina Denise Groner, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

906392 Issued in MS

Practice address

619 S State St
Clarksdale, MS 38614-6319

Phone

(662) 966-1012

NPI assigned

Dec 19, 2023

Last updated

Dec 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tallahatchie General HospitalGroup PAC ID 1052208097, 20 clinicians

Convenient Care Clinic LLCGroup PAC ID 1052587284, 21 clinicians

Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tallahatchie General Hospital-Cah Hospital, Charleston, MS, CCN 251304
• Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rgroner680708@direct.bmhcc.org

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

• Tallahatchie General Hospital

  • Critical Access Hospital
  • Charleston, MS
  • NPI 1679733497
  Medicare reassignment Care Compare group NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  MS, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Convenient Care Clinic, LLC

  • Family Nurse Practitioner
  • Horn Lake, MS
  • NPI 1851490841
  Medicare reassignment Care Compare group
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Ripley, MS
  • NPI 1447769559

  Nurse Practitioner

  Medicare reassignment NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Kosciusko, MS
  • NPI 1851050579
  NPD
• Tallahatchie General Hospital

  • Diagnostic Radiology Physician
  • Charleston, MS
  • NPI 1215267232
  NPD
• Tallahatchie General Hospital

  dba Holcomb Clinic

  • Rural Health Clinic/Center
  • Grenada, MS
  • NPI 1932591468
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital-Desoto, Inc,

  • General Acute Care Hospital
  • Southaven, MS
  • NPI 1194789818
  Care Compare affiliation
• Tallahatchie General Hospital

  • Critical Access Hospital
  • Charleston, MS
  • NPI 1679733497
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1063280923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 PITTMAN RD",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386068444",
            "telephone_number": "662-934-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S STATE ST",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386146319",
            "telephone_number": "662-966-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONER",
        "first_name": "REGINA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "906392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teressa L Grace, N/A
• Yolanda Grady
• April Green, ATC
• Alecia Greer, CNA
• Frances Parker Griffin, MSW
• Guardian Angel Adult Day Services LLC
• Meghann E Gulledge Yee, M.ED.
• Cody Renaldo Gullick, FNP-C
• Mohamad F Hadidi, M.D.
• Undra L Haggan, NURSE PRACTITIONER

• Nurse Practitioner in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.