Individual provider Active NPI

Regina K. Phillips, MD

  • Physical Medicine & Rehabilitation Physician
  • Johns Creek, GA
National Provider Identifier
1740218890
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
13714 Issued in AL
Practice address
10680 Medlock Bridge Rd Ste 204
Johns Creek, GA 30097-8420
Phone
(470) 292-3820
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 10

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2250 Hickory Rd
Suite 140
Plymouth Meeting, PA 19462-1065

300 B Princeton Hightstown Rd
Suite 202
East Windsor, NJ 08520-1421

PO Box
Belfast, ME 04915

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue95

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA, NJ, PA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 4

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20061129000448 AL Practitioner - Physical Medicine and Rehabilitation 7911905971 Reassigns benefits to 1 organization
I20250220001869 GA Practitioner - Physical Medicine and Rehabilitation 7911905971 Reassigns benefits to 6 organizations
I20250925005017 NJ Practitioner - Physical Medicine and Rehabilitation 7911905971 Reassigns benefits to 1 organization
I20260225004431 PA Practitioner - Physical Medicine and Rehabilitation 7911905971 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13714ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Regen Decatur CurrentSince Feb 10, 2025 Accepting new patients
Restore First Health Savannah LLC CurrentSince Feb 10, 2025 Accepting new patients
Restore First Health Riverdale LLC CurrentSince Feb 10, 2025 Accepting new patients
Restore First Health Penn Family Medicine CurrentSince Dec 28, 2025 Accepting new patients
Telehealth Clinical Evals LLC CurrentSince Aug 11, 2025 Accepting new patients
Healogics Specialty Physicians of Alabama, LLC Family Medicine CurrentSince Jun 27, 2016 Accepting new patients
Restore First Health Marietta LLC Family Medicine CurrentSince Feb 10, 2025 Accepting new patients
Duluth Regenerative and Joint Institute LLC CurrentSince Feb 10, 2025 Accepting new patients
Restore First Health NJ LLC CurrentSince Aug 7, 2025 Accepting new patients
Russell Hospital Corporation Family Medicine Past Accepting new patients

Locations

3316 Highway 280
Alexander City, AL 35010
Phone (256) 329-7100

55 Alison Dr
Alexander City, AL 35010
Phone (256) 215-7450

126 S Anniston Ave
Sylacauga, AL 35150
Phone (256) 249-6050

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

2680 Lawrenceville Hwy
Ste 101
Decatur, GA 30033
Phone (470) 292-3820

10680 Medlock Bridge Rd
Ste 101
Johns Creek, GA 30097

10680 Medlock Bridge Rd
Ste 204
Johns Creek, GA 30097
Phone (470) 292-3820

2550 Windy Hill Rd SE
Ste 115
Marietta, GA 30067
Phone (678) 580-2684

34 Upper Riverdale Rd SE
Ste 101
Riverdale, GA 30274
Phone (470) 292-3820

25 Chatham Ctr S
#200
Savannah, GA 31405
Phone (470) 292-3820

300B Princeton Hightstown Rd
Ste 202
East Windsor, NJ 08520
Phone (702) 303-4220

9505 Hillwood Dr
Ste 100
Las Vegas, NV 89134
Phone (702) 303-4220

2250 Hickory Rd
Ste 140
Plymouth Mtng, PA 19462
Phone (610) 379-2904

Interoperability endpoints

  • Direct secure messaging: regina.phillips.1@28696.direct.athenahealth.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 13714 AL Primary
Family Medicine Physician 207Q00000X 13714 AL

Addresses

NPPES NPI Registry

Primary practice location

10680 Medlock Bridge Rd Ste 204
Johns Creek, GA 30097-8420

Mailing address

10680 Medlock Bridge Rd Ste 101
Johns Creek, GA 30097-8420
Phone (470) 292-3820

Other practice location 1

2680 Lawrenceville Hwy Ste 101
Decatur, GA 30033-2526
Phone (470) 292-3820

Other practice location 2

25 Chatham Ctr S Ste 200
Savannah, GA 31405-1302
Phone (470) 292-3820

Other practice location 3

2550 Windy Hill Rd SE Ste 115
Marietta, GA 30067-8607
Phone (470) 292-3820

Other practice location 4

34 Upper Riverdale Rd SE Ste 101
Riverdale, GA 30274-2635
Phone (725) 209-3053

Other practice location 5

34 Upper Riverdale Rd SE Ste 101
Riverdale, GA 30274-2635
Phone (470) 292-3820

Other practice location 6

113 Rainbow Industrial Blvd
Suite B
Rainbow City, AL 35906
Phone (256) 442-5554

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
149725MedicaidAL
51137968OtherALBLUE CROSS BLUE SHIELD

Other names 1

NPPES NPI Registry
  • Dr. Regina P. Gilliland Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 25, 2025.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1740218890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10680 MEDLOCK BRIDGE RD STE 101",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300978420",
            "telephone_number": "470-292-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10680 MEDLOCK BRIDGE RD STE 204",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300978420",
            "telephone_number": "470-292-3820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2680 Lawrenceville Hwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300332526",
            "country_code": "US",
            "telephone_number": "470-292-3820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Chatham Ctr S Ste 200",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314051302",
            "country_code": "US",
            "telephone_number": "470-292-3820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 Windy Hill Rd SE Ste 115",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300678607",
            "country_code": "US",
            "telephone_number": "470-292-3820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34 Upper Riverdale Rd SE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "GA",
            "postal_code": "302742635",
            "country_code": "US",
            "telephone_number": "725-209-3053",
            "fax_number": "855-927-7788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34 Upper Riverdale Rd SE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "GA",
            "postal_code": "302742635",
            "country_code": "US",
            "telephone_number": "470-292-3820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 Rainbow Industrial Blvd",
            "address_2": "SUITE B",
            "address_purpose": "LOCATION",
            "city": "Rainbow City",
            "state": "AL",
            "postal_code": "35906",
            "country_code": "US",
            "telephone_number": "256-442-5554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "REGINA",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AL",
            "license": "13714",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "13714",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149725",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51137968",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "GILLILAND",
            "middle_name": "P.",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johns Creek, GA

Sources for this page

Verify at the official NPI Registry.