Individual provider Active NPI

Regina G Seaton, FNP

  • Family Nurse Practitioner
  • Southaven, MS
National Provider Identifier
1487757365
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN0000076982 Issued in TN
Practice address
7676 Airways Blvd
Southaven, MS 38671-5304
Phone
(662) 536-7640
Fax
(662) 536-7639
NPI assigned
Sep 6, 2006
Last updated
Mar 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN0000076982 TN Primary

Addresses

Primary practice location

7676 Airways Blvd
Southaven, MS 38671-5304

Mailing address

2155 West St
Germantown, TN 38138-3856
Phone (901) 623-3323

Other identifiers 2

IdentifierTypeStateIssuer
1487757365OtherMSBCBS MISSISSIPPI
1487757365OtherTNBCBS TENNESSEE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, AR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040218000920 TN Practitioner - Nurse Practitioner 9234024266 Reassigns benefits to 1 organization
I20040423000784 MS Practitioner - Nurse Practitioner 9234024266 Reassigns benefits to 1 organization
I20230223002913 AR Practitioner - Nurse Practitioner 9234024266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Ear Nose and Throat PCGroup PAC ID 3779568092, 32 clinicians

Practice addresses (Care Compare)

7600 Wolf River Blvd
Suite 220
Germantown, TN 38138-1788
Phone (901) 755-5300

924 State Hwy 77
Marion, AR 72364-9004
Phone (901) 755-5300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN0000076982TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McCulley Allergy Sinus & Asthma CurrentSince Aug 26, 2018 Accepting new patients
Mid-South Ear, Nose, and Throat, P.C. CurrentSince Dec 7, 2022 Accepting new patients
Mid-South Ear, Nose, and Throat, P.C. CurrentSince Dec 7, 2022 Accepting new patients
Memphis Surgical Specialists, PC Past Accepting new patients
North Internal Medicine, P. C. PastSince Nov 9, 2020 Accepting new patients

Locations

310 Judge Smith Dr
Marion, AR 72364
Phone (870) 735-4025

924 State Highway 77
Marion, AR 72364
Phone (870) 739-5310

7676 Airways Blvd
Southaven, MS 38671
Phone (662) 536-7640

7378 Yale Rd
Bartlett, TN 38133
Phone (901) 387-0193

2155 West St
Germantown, TN 38138
Phone (901) 623-3323

7600 Wolf River Blvd
Ste 120
Germantown, TN 38138

7600 Wolf River Blvd
Ste 220
Germantown, TN 38138

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14678/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/9172/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1487757365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 WEST ST",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383856",
            "telephone_number": "901-623-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7676 AIRWAYS BLVD",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715304",
            "telephone_number": "662-536-7640",
            "fax_number": "662-536-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEATON",
        "first_name": "REGINA",
        "middle_name": "G",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "RN0000076982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MISSISSIPPI",
            "identifier": "1487757365",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TENNESSEE",
            "identifier": "1487757365",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.