Individual provider Active NPI

Regina Kathleen Fleming, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Southaven, MS
National Provider Identifier
1467717009
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
E-11275 Issued in AR
Practice address
7736 Airways Blvd
Southaven, MS 38671-5306
Phone
(662) 772-3700
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 71340 GA
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 31039 TN
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 2012020206 MO
Neuromusculoskeletal Medicine & OMM Physician 204D00000X E-11275 AR Primary

Addresses

Primary practice location

7736 Airways Blvd
Southaven, MS 38671-5306

Mailing address

965 Ridge Lake Blvd
Memphis, TN 38120-9401
Phone (901) 227-4692

Other practice location 1

8138 Country Village Dr
Cordova, TN 38016-2029
Phone (901) 725-8606

Other practice location 2

8040 Wolf River Blvd Ste 103
Germantown, TN 38138-1773
Phone (901) 725-8606

Other practice location 3

2100 Exeter Rd
Germantown, TN 38138-3966
Phone (901) 757-1350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MS, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190102000066 AR Practitioner - Osteopathic Manipulative Medicine 1355569450 Reassigns benefits to 1 organization
I20240426003542 MS Practitioner - Osteopathic Manipulative Medicine 1355569450 Reassigns benefits to 1 organization
I20260227004032 TN Practitioner - Osteopathic Manipulative Medicine 1355569450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7736 Airways Blvd
Southaven, MS 38671-5306
Phone (662) 772-5222

8040 Wolf River Blvd
Suite 103
Germantown, TN 38138-1773
Phone (901) 726-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
E-11275ARMDNeuromusculoskeletal Medicine & OMM Physician
2012020206MOMDNeuromusculoskeletal Medicine & OMM Physician
5510TNMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Hospital Inc. CurrentSince Oct 30, 2018 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Mar 19, 2024 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Mar 19, 2024 Accepting new patients
Baptist Memorial Health Services, Inc. of Mississippi Past Accepting new patients
BMC - Attala, LLC Past Accepting new patients

Locations

225 E Jackson Ave
Jonesboro, AR 72401
Phone (870) 207-1630

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

391 Southcrest Cir
Ste 101
Southaven, MS 38671
Phone (662) 349-0356

7736 Airways Blvd
Southaven, MS 38671
Phone (662) 772-3700

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

8138 Country Village Dr
Cordova, TN 38016
Phone (901) 725-8606

8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

965 Ridge Lake Blvd
Memphis, TN 38120

965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1467717009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401",
            "telephone_number": "901-227-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7736 AIRWAYS BLVD",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715306",
            "telephone_number": "662-772-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8138 Country Village Dr",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380162029",
            "country_code": "US",
            "telephone_number": "901-725-8606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8040 Wolf River Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381381773",
            "country_code": "US",
            "telephone_number": "901-725-8606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Exeter Rd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381383966",
            "country_code": "US",
            "telephone_number": "901-757-1350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "REGINA",
        "middle_name": "KATHLEEN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "GA",
            "license": "71340",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "TN",
            "license": "31039",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MO",
            "license": "2012020206",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "AR",
            "license": "E-11275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.