Carly Regan, NP-C
NPI 1104192533 · Nurse Practitioner · Clemmons, NC
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carly Regan, NP-C is a Nurse Practitioner provider in Clemmons, NC (NPI 1104192533).
Provider details
- NPI number
- 1104192533
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5005579 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 900 Old Winston Rd Ste 222Kernersville, NC 27284-9965Phone: (336) 992-1234Fax: (336) 993-9963
Registry dates
- Enumerated
- 2012-03-29
- Last updated
- 2022-03-11
- Certified
- 2022-03-11
Frequently asked questions
- What is Carly Regan's NPI number?
- Carly Regan's National Provider Identifier (NPI) is 1104192533, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carly Regan's specialty?
- Carly Regan is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Carly Regan located?
- Carly Regan's practice location on file with NPPES is 6915 Village Medical Cir, Clemmons, NC 27012-8002.
- What is Carly Regan's phone number?
- The practice phone number listed in the NPPES registry for Carly Regan is (336) 718-1680.
- Does Carly Regan accept Medicare?
- Carly Regan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carly Regan's NPI active?
- Yes — Carly Regan's NPI (1104192533) is active in the NPPES registry as of the last update on 2022-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.