Regency Hospital of Hattiesburg, LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

22-333 Issued in MS

Legal business name

REGENCY HOSPITAL OF HATTIESBURG, LLC

Practice address

125 S 25TH Ave
Hattiesburg, MS 39401-6031

Phone

(601) 288-8510

Fax

(601) 288-8525

NPI assigned

Aug 12, 2005

Organization subpart

No

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

Authorized official

Name

Mr. W. Gene Winters

Title

Chief Strategy Officer

Phone

(770) 777-2602

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982606570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11175 CICERO DR",
            "address_2": "SUITE 300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221148",
            "telephone_number": "770-772-4345",
            "fax_number": "770-772-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S 25TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394016031",
            "telephone_number": "601-288-8510",
            "fax_number": "601-288-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY HOSPITAL OF HATTIESBURG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "W.",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "CHIEF STRATEGY OFFICER",
        "authorized_official_telephone_number": "770-777-2602",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "MS",
            "license": "22-333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Reeves
• Susan Fortenberry Reeves, SLP
• Katelyn Regan Goodman, PT, DPT
• Connie Regan, LCSW
• Cornelius E. Regan Jr., MD
• Regency Hospital of Southern Mississippi LLC
• Regency Hospital of Southern Mississippi, LLC
• Region 12 Commission on Mental Health & Retardation Pine
• Region 12 Commission on Mental Health & Retardation Pine Belt Men
• Region XII Comm on Mental Health Dba Pine Belt Mental Healthcare

• All providers in Hattiesburg, MS
• Long Term Care Hospital in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.