Regina C Bogle, NP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

RN053871 Issued in GA

Practice address

1301 Sigman Rd NE Ste 180
Conyers, GA 30012-3924

Phone

(678) 609-4913

Fax

(678) 609-4293

NPI assigned

Apr 10, 2006

Last updated

Feb 14, 2018By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• East Metro OB GYN Specialists, Inc

  • Obstetrics & Gynecology Physician
  • Covington, GA
  • NPI 1588698427
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1316900343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1508",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300151508",
            "telephone_number": "470-444-1501",
            "fax_number": "470-444-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SIGMAN RD NE STE 180",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123924",
            "telephone_number": "678-609-4913",
            "fax_number": "678-609-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGLE",
        "first_name": "REGINA",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "GA",
            "license": "RN053871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000762341",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blood Diamond Mobile Laboratory LLC
• Blood Stone and Pearl Transportation
• Bloodstone and Pearl Transportation, LLC
• Jacqueline Cierra Bobo, LMSW
• William Murray Boggus
• Bolton and Bolton Community Services
• Allison Bolton
• Bonhomie, L.L.C.
• Talitha Bonner, CRNA
• Sireze Booker

• Obstetrics & Gynecology Nurse Practitioner in Conyers, GA
• Providers in Conyers, GA by specialty
• Obstetrics & Gynecology Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.