Individual provider Active NPI

Regina Stewart Kelly, CRNP

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1629301692
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-065551 Issued in AL
Practice address
1601 Center St
Mobile, AL 36604-1541
Phone
(251) 410-5437
Fax
(251) 434-3802
NPI assigned
Sep 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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 1-065551 AL Primary

Addresses

Primary practice location

1601 Center St
Mobile, AL 36604-1541

Mailing address

PO Box 746450
Atlanta, GA 30374-6450
Phone (866) 401-3057

Other names 1

  • Gina Ann Stewart Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100628000559 AL Practitioner - Nurse Practitioner 4183755697 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-065551ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
USA Health Physician Billing Services LLC CurrentSince Oct 1, 2019 Accepting new patients
University of South Alabama CurrentSince Jul 1, 2016 Accepting new patients
USA Health - Mci Business Services LLC Current Accepting new patients
University of South Alabama CurrentSince Jul 1, 2016 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Oct 1, 2019 Accepting new patients
University of South Alabama Current Accepting new patients
USA Health Physician Billing Services LLC Current Accepting new patients
University of South Alabama Mitchell Cancer Institute Past Accepting new patients

Locations

21950 State Highway 181
Fairhope, AL 36532
Phone (251) 410-5437

150 S Ingleside St
Ste 5
Fairhope, AL 36532
Phone (251) 270-2800

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

1720 Center St
Ste 103
Mobile, AL 36604
Phone (251) 415-1475

1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405

1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

1601 Center St
Mobile, AL 36604
Phone (251) 410-5437

Organizations & group practices 8

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": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1629301692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746450",
            "telephone_number": "866-401-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CENTER ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041541",
            "telephone_number": "251-410-5437",
            "fax_number": "251-434-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "REGINA",
        "middle_name": "STEWART",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-065551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "STEWART",
            "middle_name": "ANN",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.