Teresa Jane Regan, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DO0000000753 Issued in TN

Practice address

210 Westwood PL Ste 110
Brentwood, TN 37027-7554

Phone

(615) 206-2462

Fax

(833) 983-2043

NPI assigned

Dec 16, 2005

Last updated

Sep 28, 2022By 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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: teresa.regan.1@21192.direct.athenahealth.com
• Direct secure messaging: tregan@landmarkhealth-direct.org

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.

• Integrated Wound Care Tennessee PLLC

  • General Practice Physician
  • Memphis, TN
  • NPI 1215593991
  Medicare reassignment NPD
• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441

  Internal Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1457337966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11402 CLIPPER BAY DR",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373796375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WESTWOOD PL STE 110",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277554",
            "telephone_number": "615-206-2462",
            "fax_number": "833-983-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGAN",
        "first_name": "TERESA",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "DO0000000753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3302121",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edmond Garth Reed Jr., DDS
• Justin Timothy Reed, FNP
• Paula Ann Reed
• Taylar J'Ana Reed
• Molly Regan
• Regional Physician Service Tennessee PC (Mission Medic Al Group)
• Rehab & Mobility Solutions, LLC (Independent Living Design, LLC)
• Penny Reif
• Robert Relic, PA-C
• Invencion Rellama-Raynes

• Internal Medicine Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.