REGINA ANN KOLLMER GARGUS MD - NPI 1962579474

Q: What is Regina Gargus's NPI number?

The NPI number for Regina Gargus is 1962579474. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Q: What is Regina Gargus's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Q: When was this NPI record last updated?

The NPPES record for Regina Gargus was last updated on October 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

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About Regina Ann Kollmer Gargus Md NPPES

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

REGINA ANN KOLLMER GARGUS MD (NPI 1962579474) is an individual developmental - behavioral pediatrics provider in Pensacola, Florida, licensed in Florida (ME131164) and active in the NPI registry since November 2006. She maintains a secondary practice location in Chattanooga.

NPPES Registry Identity

NPI1962579474

Entity TypeIndividualFemale

Primary Taxonomy2080P0006X

Provider Legal NameREGINA ANN KOLLMER GARGUSCredential: MD

Location Address5192 BAYOU BLVDPensacola, FL 32503-2102

Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623 · (904) 450-6014 · Fax (904) 450-6401

Phone(850) 416-2124

Fax(850) 416-2126

Sole ProprietorNo

Enumeration DateNovember 29, 2006

Last NPPES UpdateOctober 24, 20192 updates tracked since enumeration

✔ NPI 1962579474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080P0006X

Licenses✔ Licensed in FL · ME131164✔ Licensed in AR · E4444✔ Licensed in TN · 44166

Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

5192 BAYOU BLVD, Pensacola, FL 32503

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Secondary Practice Location 1

Location 11101 Carter St, Siskin Children's Institute-Developmental PediatricsChattanooga, TN 37402-5017 · Phone (423) 648-1700 · Fax (423) 648-1718

Other Identifiers 3

Medicaid021603200FL

Medicaid158026001AR

Other1962579474FL · Npi

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.

ROBERT K WILSON JR. MD

Pediatrics