Provider Demographics
NPI:1346210705
Name:REGIONAL HEALTH GROUP INC
Entity Type:Organization
Organization Name:REGIONAL HEALTH GROUP INC
Other - Org Name:MUSCULOSKELETAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTMELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-435-0525
Mailing Address - Street 1:2311 LAKE PARK DR
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-3183
Mailing Address - Country:US
Mailing Address - Phone:229-435-0525
Mailing Address - Fax:229-434-9827
Practice Address - Street 1:2311 LAKE PARK DR
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-3183
Practice Address - Country:US
Practice Address - Phone:229-435-0525
Practice Address - Fax:229-434-9827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-26
Last Update Date:2023-01-18
Deactivation Date:2022-11-04
Deactivation Code:
Reactivation Date:2022-12-06
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA97WCGXGMedicare ID - Type Unspecified
GAQ23752Medicare UPIN
GAU22323Medicare UPIN
GA65BBBVSMedicare ID - Type Unspecified
GAF41795Medicare UPIN
GA65BBCQMMedicare ID - Type Unspecified
GA20BBFKNMedicare ID - Type Unspecified
GAQ52832Medicare UPIN
GA35ZCGQMMedicare ID - Type Unspecified
GAP69676Medicare UPIN