Individual provider Active NPI

Regina Nju Awung, PHYSICIAN ASSSISTANT

  • Physician Assistant
  • Robins AFB, GA
National Provider Identifier
1255427308
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5075 Issued in GA
Practice address
655 7TH St BLDG 700700-a
Robins AFB, GA 31098-2227
Phone
(478) 327-8487
NPI assigned
Oct 5, 2006
Last updated
May 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5075 GA Primary

Addresses

Primary practice location

655 7TH St BLDG 700700-a
Robins AFB, GA 31098-2227

Mailing address

165 Pelican LN
Richmond Hill, GA 31324-3572
Phone (651) 890-2424

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20251106003495 SC Practitioner - Physician Assistant 1153492186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Philadelphia College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Urgent Cares LLCGroup PAC ID 8628502598, 183 clinicians

Practice addresses (Care Compare)

2601 Rosewood Dr
Columbia, SC 29205-3745
Phone (803) 782-4051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5075GAMDIntermediate Emergency Medical Technician
5992SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Urgent Cares LLC CurrentSince Nov 24, 2025 Accepting new patients
Endoscopy Center of Columbus, LLC Past Accepting new patients
Linda Munro Psy D PA Past Accepting new patients

Locations

6167 Braided Mane Pass SW
Aiken, SC 29803
Phone (803) 502-1484

2601 Rosewood Dr
Columbia, SC 29205
Phone (803) 782-4051

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1255427308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 PELICAN LN",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243572",
            "telephone_number": "651-890-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 7TH ST BLDG 700700-A",
            "city": "ROBINS AFB",
            "state": "GA",
            "postal_code": "310982227",
            "telephone_number": "478-327-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWUNG",
        "first_name": "REGINA",
        "middle_name": "NJU",
        "credential": "PHYSICIAN ASSSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "5075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robins AFB, GA

Sources for this page

Verify at the official NPI Registry.