Individual provider Active NPI

Regan Roney, FNP-C

  • Family Nurse Practitioner
  • Laurel, MS
National Provider Identifier
1730675612
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902779 Issued in MS
Practice address
1430 Jefferson St
Laurel, MS 39440-4243
Phone
(601) 425-2273
NPI assigned
Jul 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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 902779 MS Primary

Addresses

Primary practice location

1430 Jefferson St
Laurel, MS 39440-4243

Mailing address

PO Box 247
Laurel, MS 39441-0247
Phone (601) 425-7550

Other practice location 1

3 John Everett Rd
Moselle, MS 39459-9771
Phone (601) 620-9991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20180912000668 MS Practitioner - Nurse Practitioner 4183974108 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Neurology Clinic LLCGroup PAC ID 5395006977, 7 clinicians

Practice addresses (Care Compare)

319 S 13TH Ave
Laurel, MS 39440-4342
Phone (601) 426-2140

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
902779MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Clinics, Inc CurrentSince Dec 19, 2020 Accepting new patients
South Central Clinics, Inc CurrentSince Dec 19, 2020 Accepting new patients
Smith Audiology, LLC CurrentSince Nov 24, 2024 Accepting new patients
South Central Clinics, Inc Current Accepting new patients
Grayson Creek Medical Clinic, LLC Family CurrentSince Jul 23, 2018 Accepting new patients
Jefferson Neurology Clinic, LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

1203 B Ave
Ellisville, MS 39437
Phone (601) 477-8553

319 S 13th Ave
Laurel, MS 39440
Phone (601) 426-2140

1430 Jefferson St
Laurel, MS 39440
Phone (601) 425-2273

3 John Everett Rd
Moselle, MS 39459
Phone (601) 475-9304

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1730675612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394410247",
            "telephone_number": "601-425-7550",
            "fax_number": "601-399-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 JEFFERSON ST",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404243",
            "telephone_number": "601-425-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 John Everett Rd",
            "address_purpose": "LOCATION",
            "city": "Moselle",
            "state": "MS",
            "postal_code": "394599771",
            "country_code": "US",
            "telephone_number": "601-620-9991",
            "fax_number": "601-620-7487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RONEY",
        "first_name": "REGAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

Verify at the official NPI Registry.