Regina McCoy, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5008254 Issued in NC

Practice address

1507 N Road St Ste 3
Elizabeth City, NC 27909

Phone

(252) 335-2963

Fax

(252) 335-2636

NPI assigned

Feb 23, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, VA2 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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Albemarle Medical Associates PLLC

  • Internal Medicine Physician
  • Elizabeth City, NC
  • NPI 1598757916
  Medicare reassignment NPD
• Gates County Medical Center LLC

  • Primary Care Clinic/Center
  • Gatesville, NC
  • NPI 1639217631
  NPD
• Gateway Community Health Centers, Inc

  • Clinic Pharmacy
  • Gatesville, NC
  • NPI 1447843370
  NPD
• Gateway Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Elizabeth City, NC
  • NPI 1487936514
  NPD
• PMR Virginia Holding, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1083167001
  NPD

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1588023279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 N ROAD ST STE 3",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093283",
            "telephone_number": "252-335-2963",
            "fax_number": "252-335-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 N ROAD ST STE 3",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "27909",
            "telephone_number": "252-335-2963",
            "fax_number": "252-335-2636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1507 N Road St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "27909",
            "country_code": "US",
            "telephone_number": "252-335-2963",
            "fax_number": "252-335-2636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "REGINA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024174447",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Kay Maust, OTR/L
• Scott Michael Mawhiney, DC
• Marc Anthony McAninley, PA
• Theresa McCauley, OT
• Patricia Anne McCombs, RD, LDN
• Traniqua McCullen
• Michael K McDavit, MD
• Patrick James McDermott, DMD
• Catherine Ann McGrogan, PHD
• Rebekkah Cratty McGronan, FNP-C

• Nurse Practitioner in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.