REGENT MEDICAL AND AESTHETIC CLINIC
NPI 1477021053
Clinic/Center - Primary Care in Perry, FL

Active since November 13, 2018CLIA 10D2177583 · Waiver
1209 N CENTER ST, PERRY, FL 32347(850) 843-1834 Get Directions Write a Review

NPPES record last updated: March 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2019, Nov 13, 2018 (2 updates tracked since 2018).

About Regent Medical And Aesthetic Clinic NPPES

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

REGENT MEDICAL AND AESTHETIC CLINIC (NPI 1477021053) is a healthcare organization registered as a primary care in Perry, Florida and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through January 13, 2028 and lists Dulcie Marie Yelverton, Owner, as its authorized official.

NPPES Registry Identity

NPI1477021053
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameREGENT MEDICAL AND AESTHETIC CLINIC
Location Address1209 N CENTER STPerry, FL 32347-2037
Mailing Address1209 N Center StPerry, FL 32347-2037 · (850) 843-1834
Organization SubpartNo
Authorized OfficialDulcie Marie YelvertonOwner · (850) 843-1834
Enumeration DateNovember 13, 2018
Last NPPES UpdateMarch 5, 20192 updates tracked since enumeration
NPI 1477021053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1209 N CENTER ST, Perry, FL 32347

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2177583

Regent Medical And Aesthetics Clinic · Perry, FL
Active · expires Jan 13, 2028
CLIA Number10D2177583
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 14, 2026
Certificate Expiration DateJanuary 13, 2028
Laboratory DirectorDavid Keen
Laboratory Phone(850) 371-5243
Laboratory LocationRegent Medical And Aesthetics Clinic1209 N Center St, Perry, FL 32347
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
1209 N CENTER ST
PERRY, FL 32347
Home Health
1209 N CENTER ST
PERRY, FL 32347

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Regent Medical And Aesthetic Clinic's NPI number?

The NPI number for Regent Medical And Aesthetic Clinic is 1477021053. It was assigned to this organization in the NPPES registry on November 13, 2018.

Where is Regent Medical And Aesthetic Clinic located?

Regent Medical And Aesthetic Clinic is located at 1209 N Center St, Perry, FL 32347. The listed phone number is (850) 843-1834.

What is Regent Medical And Aesthetic Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Regent Medical And Aesthetic Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2177583) is associated with this NPI, valid through January 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Regent Medical And Aesthetic Clinic was last updated on March 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.