Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Regina Denise Groner, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1063280923

Mrs. Regina Denise Groner, NURSEPRACTITIONER is a Nurse Practitioner in Clarksdale, Mississippi. Qualified in 2023, 3 years ago. Practices with Tallahatchie General Hospital, a 20-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
3
Licensed in
MS
In the registry since
2023

Practice location Address checks out

619 S State St
Clarksdale, MS 38614-6319
Phone: (662) 966-1012
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 906392 (MS)

Record details

NPI number1063280923
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedDecember 19, 2023
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Tallahatchie General Hospital — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Clarksdale