DR. REGENE JEREESE TELL MOSELY MD
NPI 1164361028
Student in an Organized Health Care Education/Training Program in Southaven, MS

Q: What is Regene Tell Mosely's NPI number?

The NPI number for Regene Tell Mosely is 1164361028. It was assigned to this individual provider in the NPPES registry on March 26, 2026.

Q: What is Regene Tell Mosely's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 26, 2026PECOS Enrolled

7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671(662) 772-3607 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Dr. Regene Jereese Tell Mosely Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. REGENE JEREESE TELL MOSELY MD (NPI 1164361028) is an individual student in an organized health care education/training program in Southaven, Mississippi and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164361028

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. REGENE JEREESE TELL MOSELYCredential: MD

Location Address7601 SOUTHCREST PKWYSouthaven, MS 38671-4742

Mailing Address6913 Sandfield DrMontgomery, AL 36117-4467 · (334) 296-5168

Phone(662) 772-3607

Sole ProprietorYes

Enumeration DateMarch 26, 2026

NPPES CertifiedMarch 26, 2026

✔ NPI 1164361028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

7601 SOUTHCREST PKWY, Southaven, MS 38671

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Regene Jereese Tell Mosely Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MID-SOUTH ANESTHESIA CONSULTANTS, PLLC

Specialist