Healthcare Provider Details

I. General information

NPI: 1649634775
Provider Name (Legal Business Name): REGINA KATHERINE MCPHERSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REGINA KATHERINE MCPHERSON M.D.

II. Dates (important events)

Enumeration Date: 04/05/2016
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 KNOX WAY
CHAPEL HILL NC
27516-6610
US

IV. Provider business mailing address

5221 PARAMOUNT PKWY STE 220
MORRISVILLE NC
27560-5490
US

V. Phone/Fax

Practice location:
  • Phone: 984-215-5900
  • Fax: 984-215-5942
Mailing address:
  • Phone: 984-215-4111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD.36629
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code2080H0002X
TaxonomyPediatric Hospice and Palliative Medicine Physician
License NumberMD.2021-01122
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberMD.2021-01122
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD.36629
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: