NPIMap

Organization Active NPI

Regents Medical Center PC

  • Internal Medicine Physician
  • Pleasant View, TN
National Provider Identifier
1194718346
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
REGENTS MEDICAL CENTER PC
Practice address
254 Ren Mar Dr
Suite 100
Pleasant View, TN 37146-7107
Phone
(615) 746-0203
Fax
(615) 746-0001
NPI assigned
Aug 23, 2005
Last updated
Dec 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Mrs. Lori A Ray, MDNPI 1376616771
Title
Owner
Phone
(615) 746-0203

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

254 Ren Mar Dr
Suite 100
Pleasant View, TN 37146-7107

Mailing address

254 Ren Mar Dr
Suite 100
Pleasant View, TN 37146-7107
Phone (615) 746-0203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070117000355 TN Part B Supplier - Clinic/Group Practice 2062441181 Receives reassigned benefits from 16 practitioners
Practice locations: Pleasant View, TN

National Provider Directory

National Provider Directory
Tax ID family
Regents Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6910 Moores Ln
Brentwood, TN 37027
Phone (615) 376-4470

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1194718346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 REN MAR DR",
            "address_2": "SUITE 100",
            "city": "PLEASANT VIEW",
            "state": "TN",
            "postal_code": "371467107",
            "telephone_number": "615-746-0203",
            "fax_number": "615-746-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 REN MAR DR",
            "address_2": "SUITE 100",
            "city": "PLEASANT VIEW",
            "state": "TN",
            "postal_code": "371467107",
            "telephone_number": "615-746-0203",
            "fax_number": "615-746-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-746-0203",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant View, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.