Regina C Bogle
Nurse Practitioner (Obstetrics & Gynecology)

Address: 1301 Sigman Rd Ne Ste 180, Conyers, GA 30012-3924
Phone: 6786094913

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).

Provider Overview

Nation Provider Identifier (NPI) 1316900343
Entity Type Individual
Full Name Regina C Bogle
Credential NP
Gender Female
Practice Address 1301 Sigman Rd Ne Ste 180
Conyers
GA 30012-3924
Practice Telephone 6786094913
Practice Fax Number 6786094293
Mailing Address Po Box 1508
Covington
GA 30015-1508
Mailing Telephone 4704441501
Mailing Fax Number 4704441506
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-04-10
Last Update Date 2018-02-14

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LX0001X Nurse Practitioner · Obstetrics & Gynecology Physician Assistants & Advanced Practice Nursing Providers RN053871 GA

Other Provider Identifier

State Identifier Issuer Type Code
GA 000762341 MEDICAID

Providers with the same name

NPI Name Taxonomy Address Enumeration
1487869830 Regina Maria Cudemo Bogle Psychiatry & Neurology 618 Fourth Ave, # 206, Bethlehem, PA 18018 2007-05-11

Physician Overview

NPI 1316900343
PAC ID by PECOS 0547561326
Professional Enrollment ID I20151221001538
Full Name Regina Bogle
Organization Legal Name PIEDMONT PROVIDERS LLC
Gender F
Graduation Year 1997
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 9830082825
Number of Group Practice Members 239
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110091 PIEDMONT ROCKDALE HOSPITAL

Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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 1275 Shiloh Rd Nw Ste 2031, Kennesaw, GA 30144-7199 2011-12-15
1275812760 Leah Galloway Pombo Nurse Practitioner 9 Dunwoody Park Ste 108, Atlanta, GA 30338-6712 2011-08-15
1437305752 Sherida L Brown Nurse Practitioner 1800 Peachtree St, 450, Atlanta, GA 30309 2008-08-18
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
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Office Location

Street Address 1301 SIGMAN RD NE STE 180
City CONYERS
State GA
Zip Code 30012-3924

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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
1932468733 Leslie Anne Styles Counselor 970 North Milstead Ave, Conyers, GA 30012 2012-05-14
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Competitor

Search similar providers

City CONYERS
Zip Code 30012

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Dataset Information

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.