Provider Demographics
NPI:1902921976
Name:LINDSEY, REGINA S (MD)
Entity Type:Individual
Prefix:DR
First Name:REGINA
Middle Name:S
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 279
Mailing Address - Street 2:4772 NAVY ROAD
Mailing Address - City:MILLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38083-0279
Mailing Address - Country:US
Mailing Address - Phone:901-873-4501
Mailing Address - Fax:901-873-4505
Practice Address - Street 1:4772 NAVY RD
Practice Address - Street 2:
Practice Address - City:MILLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38053-1927
Practice Address - Country:US
Practice Address - Phone:901-873-4501
Practice Address - Fax:901-873-4505
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000018070207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN26-3496551OtherAETNA
TN000000001712OtherTLC
TN4040083OtherTENNCARE SELECT
TN3044948OtherUAHC
TN4040083OtherBCBS
TN000000112955OtherUNISON
TN3044948Medicaid
TND80502Medicare UPIN
TN000000001712OtherTLC