Active NPI
Regina Ann Stone, FNP-C
- Family Nurse Practitioner
- Douglas, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN113482
- Practice address
- 1003 Shirley Ave
Douglas, GA 31533-2123 - Phone
- (912) 389-4586
- Fax
- (912) 389-4590
- NPI assigned
- Mar 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN113482 | GA | Primary |
Addresses
Primary practice location
1003 Shirley Ave
Douglas, GA 31533-2123
Mailing address
1003 Shirley Ave
Douglas, GA 31533-2123
Phone (912) 389-4586
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3 W Altman St
Statesboro, GA 30458-5212
Phone (912) 764-2402
310 Bryan St W
Douglas, GA 31533-4730
Phone (912) 389-4204
714 NW Broad St
Lyons, GA 30436-5648
Phone (912) 526-8108
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN113482 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coffee County Board of Health | Current | Accepting new patients | |
| Toombs County Wellness Center | Current | Accepting new patients | |
| Toombs County Board of Health | Current | Accepting new patients | |
| Bulloch County Board of Health | Current | Accepting new patients | |
| Coffee County Board of Health | Current | Accepting new patients | |
| Ware County Board of Health | Current | Accepting new patients | |
| Bulloch County Board of Health | Current | Accepting new patients | |
| Candler County Board of Health | Past | Accepting new patients |
Locations
310 Bryan St W
Douglas, GA 31533
Phone (912) 389-4204
1003 Shirley Ave
Douglas, GA 31533
Phone (912) 389-4204
714 NW Broad St
Lyons, GA 30436
Phone (912) 526-8108
3 W Altman St
Statesboro, GA 30458
Phone (912) 764-2402
1102 Plant Ave
Waycross, GA 31501
Phone (912) 285-6002
1101 Church St
Waycross, GA 31501
Phone (912) 285-6010
Organizations & group practices 8
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.
-
- Public Health or Welfare Agency
- Statesboro, GA
- NPI 1043243876
-
- Public Health or Welfare Agency
- Douglas, GA
- NPI 1952346074
-
- Public Health or Welfare Agency
- Lyons, GA
- NPI 1831112879
-
- Public Health or Welfare Agency
- Waycross, GA
- NPI 1568491785
-
- Public Health or Welfare Agency
- Statesboro, GA
- NPI 1417985060
-
- Public Health or Welfare Agency
- Douglas, GA
- NPI 1316976699
-
- Public Health or Welfare Agency
- Lyons, GA
- NPI 1558390757
-
- Public Health or Welfare Agency
- Metter, GA
- NPI 1649208216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489449600000",
"number": "1154862894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 SHIRLEY AVE",
"city": "DOUGLAS",
"state": "GA",
"postal_code": "315332123",
"telephone_number": "912-389-4586",
"fax_number": "912-389-4590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 SHIRLEY AVE",
"city": "DOUGLAS",
"state": "GA",
"postal_code": "315332123",
"telephone_number": "912-389-4586",
"fax_number": "912-389-4590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "REGINA",
"middle_name": "ANN",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-14",
"last_updated": "2017-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN113482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.