Organization Active NPI

Regional Healthcare Group LLC

  • Acute Care Nurse Practitioner
  • Mount Juliet, TN
National Provider Identifier
1407587363
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
Legal business name
REGIONAL HEALTHCARE GROUP LLC
Practice address
2099 N Mount Juliet Rd
Mount Juliet, TN 37122-3386
Phone
(919) 429-1901
NPI assigned
Jun 22, 2022
Last updated
Feb 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
April Evans
Title
Credentialing Specialist
Phone
(919) 429-1901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X Primary

Addresses

Primary practice location

2099 N Mount Juliet Rd
Mount Juliet, TN 37122-3386

Mailing address

4020 Progressive Church Rd
Princeton, NC 27569-8621
Phone (919) 429-1901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA, KY, OH, WV, IN, AL, NC, NJ, MS, GA, CO, AR, FL, PA, MO, SC, MD, DC, MA, TX21 enrollments

Enrollment records 21

Enrollment IDStateProvider typePAC IDDetails
O20220824003719 TN Part B Supplier - Clinic/Group Practice 8224412234 Receives reassigned benefits from 32 practitioners
Practice locations: Murfreesboro, TN
O20221219000126 VA Part B Supplier - Clinic/Group Practice 8224412234 Receives reassigned benefits from 9 practitioners
Practice locations: Chesterfield, VA
O20230322001078 KY Part B Supplier - Clinic/Group Practice 8224412234 Receives reassigned benefits from 8 practitioners
Practice locations: Pikeville, KY
O20230504002616 OH Part B Supplier - Clinic/Group Practice 8224412234 Receives reassigned benefits from 12 practitioners
Practice locations: Ironton, OH; Proctorville, OH; South Point, OH
O20230516000620 WV Part B Supplier - Clinic/Group Practice 8224412234 Receives reassigned benefits from 6 practitioners
Practice locations: Huntington, WV
O20230615001325 IN Part B Supplier - Clinic/Group Practice 8224412234 Receives reassigned benefits from 2 practitioners
Practice locations: Evansville, IN
O20230929003277 AL Part B Supplier - Clinic/Group Practice 8224412234 Receives reassigned benefits from 7 practitioners
Practice locations: Gulf Shores, AL
O20231103000368 NC Part B Supplier - Clinic/Group Practice 8224412234 Receives reassigned benefits from 15 practitioners
Practice locations: Princeton, NC
O20231212000856 NJ Part B Supplier - Clinic/Group Practice 8224412234 Receives reassigned benefits from 3 practitioners
Practice locations: North Haledon, NJ
O20240102001607 MS Part B Supplier - Clinic/Group Practice 8224412234 Receives reassigned benefits from 11 practitioners
Practice locations: Jackson, MS
O20240514002085 GA Part B Supplier - Clinic/Group Practice 8224412234 Receives reassigned benefits from 14 practitioners
Practice locations: Watkinsville, GA
O20240521000393 CO Part B Supplier - Clinic/Group Practice 8224412234 Receives reassigned benefits from 3 practitioners
Practice locations: Highlands Ranch, CO
O20240807003230 AR Part B Supplier - Clinic/Group Practice 8224412234 Receives reassigned benefits from 4 practitioners
Practice locations: North Little Rock, AR
O20241101000729 FL Part B Supplier - Clinic/Group Practice 8224412234 Receives reassigned benefits from 15 practitioners
Practice locations: Fort Myers, FL
O20241104000496 PA Part B Supplier - Clinic/Group Practice 8224412234 Receives reassigned benefits from 3 practitioners
Practice locations: Chalfont, PA
O20241107000397 MO Part B Supplier - Clinic/Group Practice 8224412234 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Louis, MO
O20241122000102 SC Part B Supplier - Clinic/Group Practice 8224412234 Receives reassigned benefits from 6 practitioners
Practice locations: Columbia, SC
O20250115000899 MD Part B Supplier - Clinic/Group Practice 8224412234 Receives reassigned benefits from 6 practitioners
Practice locations: Towson, MD
O20250610002079 DC Part B Supplier - Clinic/Group Practice 8224412234 Receives reassigned benefits from 2 practitioners
Practice locations: Towson, MD
O20250701000248 MA Part B Supplier - Clinic/Group Practice 8224412234 Receives reassigned benefits from 1 practitioner
Practice locations: Duxbury, MA
O20250806001386 TX Part B Supplier - Clinic/Group Practice 8224412234 Receives reassigned benefits from 2 practitioners
Practice locations: Mesquite, TX

National Provider Directory

National Provider Directory

Locations

4145 N Mayo Trl
#106
Pikeville, KY 41501
Phone (865) 604-2284

521 Donald Lynch Blvd
Marlborough, MA 01752
Phone (508) 357-6268

1500 Medical Center Pkwy
Murfreesboro, TN 37129

1500 Medical Center Pkwy
#16
Murfreesboro, TN 37129

1500 Medical Center Pkwy
#3
Murfreesboro, TN 37129

1500 Medical Center Pkwy
Ste 3AN
Murfreesboro, TN 37129

1500 Medical Center Pkwy
Ste 4
Murfreesboro, TN 37129

Practitioners & affiliated clinicians

Practitioners 161

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 161

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1407587363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 PROGRESSIVE CHURCH RD",
            "city": "PRINCETON",
            "state": "NC",
            "postal_code": "275698621",
            "telephone_number": "919-429-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2099 N MOUNT JULIET RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223386",
            "telephone_number": "919-429-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HEALTHCARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "919-429-1901"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.