Regina J Elkins, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD0000001419 Issued in TN

Practice address

205 1/2 E Public SQ
Centerville, TN 37033-1601

Phone

(931) 729-2190

Fax

(931) 729-2805

NPI assigned

Sep 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Nashville Vision Associates, PLC

  • Ophthalmology Physician
  • Nashville, TN
  • NPI 1548239437
  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1891892428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 1/2 E PUBLIC SQ",
            "city": "CENTERVILLE",
            "state": "TN",
            "postal_code": "370331601",
            "telephone_number": "931-729-2190",
            "fax_number": "931-729-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 1/2 E PUBLIC SQ",
            "city": "CENTERVILLE",
            "state": "TN",
            "postal_code": "370331601",
            "telephone_number": "931-729-2190",
            "fax_number": "931-729-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKINS",
        "first_name": "REGINA",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD0000001419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3598650",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "103I413138",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "3598653",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "103I181431",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Marie Deespino, RN
• Dermal Solutions
• Dialysis Associates, LLC
• Marek Durakiewicz, MD
• Gina Michelle Elkins, BSW
• Fast Pace Medical Clinic PLLC
• Julia Finchum
• Lydia Fowler, RD
• Fred'S Inc
• Dawn A Glenn, NP

• All providers in Centerville, TN
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.