Regency Health Associates

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

033908 Issued in GA

Legal business name

REGENCY HEALTH ASSOCIATES

Practice address

374 Osprey PT
Stone Mountain, GA 30087-6163

Phone

(770) 413-1197

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Diane R Alexander

Title

Ceo

Phone

(770) 414-8005

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1548323082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870614",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300870016",
            "fax_number": "770-413-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 OSPREY PT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300876163",
            "telephone_number": "770-413-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-414-8005",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "033908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85000886G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerolyn N Redstrom, OTR
• Brandi Reed, LPC
• Deborah A Reed, RN-CNS/PMH
• Tameca Reed, MA, NCC, LPC
• Jaya Reeves
• Rehab and Beyond, Inc.
• Rehab of Stone Mountain
• Marjorie Reid
• Reneca Contracting & Consultant
• Reprah Enterprise,LLC

• Family Medicine Physician in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.