Active NPI
Regina Walsh, NP
- Nurse Practitioner
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN210379
- Practice address
- 3675 J Dewey Gray Cir Ste 300
Augusta, GA 30909-1868 - Phone
- (706) 863-9595
- Fax
- (706) 868-8375
- NPI assigned
- Aug 31, 2016
- Last updated
- May 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN210379 | GA | Primary |
Addresses
Primary practice location
3675 J Dewey Gray Cir Ste 300
Augusta, GA 30909-1868
Mailing address
PO Box 3726
Augusta, GA 30914-3726
Phone (706) 863-9595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN210379 | Other | GA | GA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3651 Wheeler Rd
Burn Unit
Augusta, GA 30909-6521
Phone (706) 651-3232
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN210379 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burn Critical Care Associates, LLC | Current | Accepting new patients | |
| Hospital Physician Services - Southeast Professional Corporation | Nurse Practitioner | Current | Accepting new patients |
| Central Georiga Fertility Institute | Past | Accepting new patients |
Locations
3614 J Dewey Gray Cir
Ste B
Augusta, GA 30909
Phone (706) 364-3470
3624 J Dewey Gray Cir
Ste 304
Augusta, GA 30909
3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
Organizations & group practices 3
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.
-
- Pulmonary Disease Physician
- Augusta, GA
- NPI 1447790514
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
Nurse Practitioner
-
- Reproductive Endocrinology Physician
- Macon, GA
- NPI 1447390901
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Doctors Hospital (Augusta)
- General Acute Care Hospital
- Augusta, GA
- NPI 1912951963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588723200000",
"number": "1588110431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3726",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309143726",
"telephone_number": "706-863-9595",
"fax_number": "706-868-8375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3675 J DEWEY GRAY CIR STE 300",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309091868",
"telephone_number": "706-863-9595",
"fax_number": "706-868-8375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "REGINA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-31",
"last_updated": "2020-05-06",
"certification_date": "2020-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN210379",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA LICENSE",
"identifier": "RN210379",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
- Ashley Tierra Waller, MSN, APRN, PMHNP-BC
- Christian Waller
- Cynthia Sue Wallerich, MS, RD, LD
- Cynthia Thersa Walley, LAPC
- Shaquise Walls, RBT
- Pastelle Henry Walston, APRN, FNP-C
- Shantell Walston
- Walter L Shepeard Community Blood Ctr (Shepeard Community Blood Ctr)
- Zachary Martin Walter, MD
- Abdul Abel Walters, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.