DR. DIANE NICOLE BALLERINO-REGAN M.D.
NPI 1790892081
Obstetrics & Gynecology in Supply, NC

Q: What is Diane Ballerino-regan's NPI number?

The NPI number for Diane Ballerino-regan is 1790892081. It was assigned to this individual provider in the NPPES registry on August 24, 2006. The provider is also known as Dr. Diane Nicole Ballerino M.D..

Q: What is Diane Ballerino-regan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since August 24, 2006

20 MEDICAL CAMPUS DR, SUITE 205, SUPPLY, NC 28462(910) 755-5260(910) 755-5263 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Diane Nicole Ballerino-regan M.d. NPPES

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

DR. DIANE NICOLE BALLERINO-REGAN M.D. (NPI 1790892081) is an individual obstetrics & gynecology provider in Supply, North Carolina, licensed in North Carolina (9501169) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1790892081

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. DIANE NICOLE BALLERINO-REGANCredential: M.D.

Location Address20 MEDICAL CAMPUS DR, SUITE 205Supply, NC 28462-4096

Mailing AddressPo Box 679Supply, NC 28462-0679 · (910) 755-5260 · Fax (910) 755-5263

Phone(910) 755-5260

Fax(910) 755-5263

Sole ProprietorNo

Enumeration DateAugust 24, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1790892081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in NC · 9501169✔ Licensed in FL · ME00664057✔ Licensed in LA · 11076R✔ Licensed in CT · 033929

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

20 MEDICAL CAMPUS DR, Supply, NC 28462

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Other Names 1

Former Name (1)Dr. Diane Nicole Ballerino M.d.

Other Identifiers 6

Medicaid8912826NC

Medicare ID-Type Unspecified2218324CNC · Mcr Provider Id#

Medicare ID-Type UnspecifiedP00010671NC · Railroad Mcr Provider Id#

OtherN01169SC · Sc Mcd Provider Id#

Medicare UPINF66084NC

Other12826NC · Bcbs Nc

Other Providers at the Same Location NPPES 13

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

CHURCH FAMILY MEDICINE, PC

Family Medicine

20 MEDICAL CAMPUS DR, SUITE 203
SUPPLY, NC 28462

Brunswick County (910) 755-7181

BRANDON E. DEVITO, DDS, PLLC

Dentist (General Practice)

20 MEDICAL CAMPUS DR, SUITE 201
SUPPLY, NC 28462

Brunswick County (910) 755-6788

INDEPENDENT NEPHROLOGY SERVICES, INC.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

20 MEDICAL CAMPUS DR
SUPPLY, NC 28462

Brunswick County (704) 896-6869

DR. CORIE M MCRANIE D.D.S

Dentist (General Practice)

20 MEDICAL CAMPUS DR, SUITE 201
SUPPLY, NC 28462

Brunswick County (910) 755-6788

COASTAL HORIZONSCENTER, INC

Community/Behavioral Health

20 MEDICAL CAMPUS DR, SUITE 103
SUPPLY, NC 28462

Brunswick County (910) 754-4515

ATLANTIC UROLOGY PC

Urology

20 MEDICAL CAMPUS DR, SUITE 202
SUPPLY, NC 28462

Brunswick County (910) 362-8765

LEIGHTON ORTHOPAEDICS AND SPORTS MEDICINE P.C.

Orthopaedic Surgery (Sports Medicine)

20 MEDICAL CAMPUS DR, SUITE 104
SUPPLY, NC 28462

Brunswick County (910) 575-5800

CAROLINA HEALTHCARE PRODUCTS, INC

Durable Medical Equipment & Medical Supplies

20 MEDICAL CAMPUS DR, SUITE 102
SUPPLY, NC 28462

Brunswick County (910) 755-6767

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 Diane Ballerino-regan's NPI number?

The NPI number for Diane Ballerino-regan is 1790892081. It was assigned to this individual provider in the NPPES registry on August 24, 2006. The provider is also known as Dr. Diane Nicole Ballerino M.D..

Where is Diane Ballerino-regan located?

Diane Ballerino-regan practices at 20 Medical Campus Dr Suite 205, Supply, NC 28462. The listed phone number is (910) 755-5260.

What is Diane Ballerino-regan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Diane Ballerino-regan was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.