Active NPI
Nadine Regis, M.D.
- Student in an Organized Health Care Education/Training Program
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1400 Pelham Pkwy S
Building 6// Suite 1B25
Bronx, NY 10461-1138 - Phone
- (718) 918-5820
- NPI assigned
- Jul 18, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Emergency Medicine Physician | 207P00000X | 73138 | GA |
Addresses
Primary practice location
1400 Pelham Pkwy S
Building 6// Suite 1B25
Bronx, NY 10461-1138
Mailing address
1400 Pelham Parkway S.
Building 6// Suite 1B25
Bronx, NY 10461
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73138 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Group of Columbus, LLC | Emergency Medicine | Current | Accepting new patients |
| Phoebe Putney Memorial Hospital Inc | Current | Accepting new patients | |
| Phoebe Putney Memorial Hospital Inc | Current | Accepting new patients | |
| Heritage Physician Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Coweta Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Phoebe Cancer Center Surgical Oncology | Current | Accepting new patients | |
| United Emergency Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Jacobi Medical Center Ed | Past | Accepting new patients |
Locations
500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
5995 Spring St
Warm Springs, GA 31830
Phone (706) 632-4374
Interoperability endpoints
- nadine.regis.1@14883.direct.athenahealth.com
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- https://api.platform.athenahealth.com/8478/brand/1/csg/1/fhir/r4
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.
-
- Emergency Medicine Physician
- Newnan, GA
- NPI 1245556588
-
- Emergency Medicine Physician
- Columbus, GA
- NPI 1316458227
-
- Emergency Medicine Physician
- Columbus, GA
- NPI 1003321969
-
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
-
- Surgical Oncology Physician
- Albany, GA
- NPI 1316193626
-
- Community/Retail Pharmacy
- Albany, GA
- NPI 1891315420
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1023396801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434326400000",
"number": "1912295429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 PELHAM PARKWAY S.",
"address_2": "BUILDING 6// SUITE 1B25",
"city": "BRONX",
"state": "NY",
"postal_code": "10461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PELHAM PKWY S",
"address_2": "BUILDING 6// SUITE 1B25",
"city": "BRONX",
"state": "NY",
"postal_code": "104611138",
"telephone_number": "718-918-5820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGIS",
"first_name": "NADINE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-18",
"last_updated": "2015-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "73138",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.