Cody, Regina G

Cody, Regina G is an individual health care provider with primary practice located at 19 Lester Rd , Statesboro GA 30458-2119. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Cody, Regina G can be contacted via phone (912) 662-6501.

Contact Information

Primary practice address
19 Lester Rd Statesboro GA 30458-2119
Phone: (912) 662-6501
Fax: (912) 681-1012
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN117919 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0364455 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2009008422 Georgia

Profile Details

NPI number 1619054459
LBN Legal business name Cody, Regina G
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Nov 14th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619054459 NPPES
Georgia MEDICAID 976152836D

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