Regina Forbess Goulder (NPI# 1295150787, PAC ID# 9436381241) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1295150787 |
| PAC ID by PECOS | 9436381241 |
| Professional Enrollment ID | I20140409002371 |
| Full Name | Regina Forbess Goulder |
| Organization Legal Name | PRIMARY CARE GROUP, LLC |
| Address |
76 Capital Way Suite C Atoka TN 38004-6832 |
| Phone Number | 9018401202 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0941480131 |
| Number of Group Practice Members | 94 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440049 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
| 440131 | BAPTIST MEMORIAL HOSPITAL TIPTON |
| Address | Phone | Organization |
|---|---|---|
| 76 Capital Way, Suite C, Atoka, TN 38004-6832 | 9018401202 | PRIMARY CARE GROUP, LLC |
| 1211 Union Ave, Suite 700, Memphis, TN 38104-6600 | 9015160843 | PRIMARY CARE GROUP, LLC |
| 3725 Champion Hills Dr, Suite 2500, Memphis, TN 38125-2597 | 9012026034 | PRIMARY CARE GROUP, LLC |
| Organization Legal Name | PRIMARY CARE GROUP, LLC |
| Physicians | 100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bonnie L Barnes | Family Medicine | Primary Care Group, LLC | 3725 Champion Hills Dr, Suite 2000, Memphis, TN 38125-0502 |
| Penina Danziger | Nurse Practitioner | Primary Care Group, LLC | 6570 Summer Oaks Cv, Bartlett, TN 38134-2857 |
| Nora E Maldonado | Family Medicine | Primary Care Group, LLC | 9047 Poplar Ave, Suite 105, Germantown, TN 38138-6401 |
| Jeffrey E Banham | Nurse Practitioner | Primary Care Group, LLC | 2589 Appling Rd, Suite 101, Bartlett, TN 38133-5099 |
| Kyle W Kimbrough | Physician Assistant | Primary Care Group, LLC | 7235 Hacks Cross Rd, Olive Branch, MS 38654-4213 |
| Jennifer C Sanders | Nurse Practitioner | Primary Care Group, LLC | 7163 Goodman Rd, Olive Branch, MS 38654-1904 |
| Michelle D Kitson | Internal Medicine | Primary Care Group, LLC | 5182 Sanderlin Ave, Suite 3, Memphis, TN 38117-4354 |
| Julie W Crafton | Nurse Practitioner | Primary Care Group, LLC | 7690 Wolf River Circle, Germantown, TN 38138-1744 |
| Lee Wilkes Mccallum | Family Medicine | Primary Care Group, LLC | 8115 Country Village Dr, Suite 105, Cordova, TN 38016-2030 |
| Mark L Reed | General Practice | Primary Care Group, LLC | 1211 Union Ave, Suite 700, Memphis, TN 38104-6600 |
| Street Address |
76 CAPITAL WAY SUITE C |
| City | ATOKA |
| State | TN |
| Zip | 38004-6832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Clay Jackson | Family Medicine | Primary Care Group, LLC | 76 Capital Way, Suite C, Atoka, TN 38004-6832 |
| Staci T Cownover | Physician Assistant | Primary Care Group, LLC | 76 Capital Way, Suite C, Atoka, TN 38004-6832 |
| Mindy A Ledford | Nurse Practitioner | Primary Care Group, LLC | 76 Capital Way, Suite C, Atoka, TN 38004-6832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shameela N Ahmed | Neurology | Gastrointestinal and Liver Clinic, PC | 340 Atoka Mclaughlin Dr, Suite C, Atoka, TN 38004-4805 |
| Jeffrey A Mcmillian | Optometry | 185 Wesley Reed Dr, Suite E, Atoka, TN 38004-4805 | |
| Darl V Bell | Internal Medicine | Bell Internal Medicine PC | 81 Atoka Mclaughlin Dr, Atoka, TN 38004-4806 |
| Michael J Majestic | Physical Therapy | Mid South Physical Therapy Inc | 10992 Hwy 51 S 100, Atoka, TN 38004-4945 |
| Michelle L Duncan | Physical Therapy | Mid South Physical Therapy Inc | 10992 Hwy 51 S 100, Atoka, TN 38004-4945 |
| Milfred O Eckel Iii | Physical Therapy | Mid South Physical Therapy Inc | 10992 Hwy 51 S 100, Atoka, TN 38004-4945 |
| Syed H Shirazee | Pulmonary Disease | 76 Capital Way B, Atoka, TN 38004-6866 | |
| Samuel E Poisal Iv | Chiropractic | 60 Commercial Dr, Atoka, TN 38004-7042 | |
| Brandi B Franks | Nurse Practitioner | 1984 Rosemark Rd E, Atoka, TN 38004-7359 | |
| Patrick Mcadams | Physical Therapy | Leader Physical Therapy Limited Partnership | 11680 Hwy 51 S, Atoka, TN 38004-7604 |
| Find all physicians in zip 38004 | |||
| City | ATOKA |
| Zip Code | 38004 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ATOKA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Regina Forbess Goulder.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.