REGINA C BOGLE (NPI# 1316900343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316900343 |
| Entity Type | Individual |
| Full Name | REGINA C BOGLE |
| Credential | NP |
| Practice Address |
1301 Sigman Rd Ne Ste 180 Conyers GA 30012-3924 |
| Mailing Address |
Po Box 1508 Covington GA 30015-1508 |
| Practice Telephone | 6786094913 |
| Practice Fax Number | 6786094293 |
| Mailing Telephone | 4704441501 |
| Mailing Fax Number | 4704441506 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2018-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
RN053871 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000762341 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487869830 | Regina Maria Cudemo Bogle | Psychiatry & Neurology | 618 Fourth Ave, # 206, Bethlehem, PA 18018 | 2007-05-11 |
| Street Address |
1301 SIGMAN RD NE STE 180 |
| City | CONYERS |
| State | GA |
| Zip Code | 30012-3924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881072940 | Mitra Poorak | Surgery | 1301 Sigman Rd Ne Ste 180, Conyers, GA 30012-3924 | 2015-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871901090 | Carol Lumpkin | Nurse Practitioner | 15 Porter St East, Winder, GA 30680 | 2014-07-31 |
| 1992138788 | Lindley Ann Cone Kent | Nurse Practitioner | 285 Boulevard Ne Ste 110, Atlanta, GA 30312-4207 | 2013-08-15 |
| 1881963122 | Heather Calhoun Quaile | Nurse Practitioner | 3233 S Cherokee Ln Bldg 1000, Woodstock, GA 30188-4461 | 2011-12-15 |
| 1275812760 | Leah Galloway Pombo | Nurse Practitioner | 9 Dunwoody Park Ste 108, Atlanta, GA 30338-6712 | 2011-08-15 |
| 1033315122 | Suni Hamm Carroll | Nurse Practitioner | 1105 N 5th Ave Ne, Rome, GA 30165-2603 | 2007-06-25 |
| 1619189784 | Pamela T. Puett | Nurse Practitioner | 1279 Highway 54 W Ste 220, Fayetteville, GA 30214-4552 | 2007-05-03 |
| 1538201330 | Betty S Rhyne | Nurse Practitioner | 618 E Lamar St, Americus, GA 31709-3738 | 2007-02-12 |
| 1457389751 | Katina Catrice Hunter | Nurse Practitioner | 4849 Paulsen St Ste 314, Savannah, GA 31405-4426 | 2006-06-28 |
| 1912945288 | Angela B Townsend | Nurse Practitioner | 11168 Columbia St, Blakely, GA 39823-3474 | 2006-06-02 |
| 1508426990 | Kristi H Freeman | Nurse Practitioner | 1948 Old Ocilla Rd, Tifton, GA 31794-1644 | 2019-06-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.