Active NPI
Regina Jianhua Wang, M.D.
- Family Medicine Physician
- Duluth, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 050568
- Practice address
- 3814 Satellite Blvd Ste 100
Duluth, GA 30096-5693 - Phone
- (770) 514-8880
- Fax
- (678) 648-1788
- NPI assigned
- Nov 2, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 050568 | GA | Primary |
Addresses
Primary practice location
3814 Satellite Blvd Ste 100
Duluth, GA 30096-5693
Mailing address
3814 Satellite Blvd Ste 100
Duluth, GA 30096-5693
Phone (770) 514-8880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00951475B | Medicaid | GA | |
| 00951475A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4720 Peachtree Industrial Blvd
Suite 202
Berkeley Lake, GA 30071-5736
Phone (770) 514-8880
Hospital & facility affiliations
- Northside Hospital Duluth
- Northside Hospital
- Northside Hospital Forsyth
- Northside Hospital Gwinnett
- Emory Johns Creek Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Family Practice P.C | Current | Accepting new patients | |
| Emory Specialty Associates, LLC | Family Medicine | Past | Accepting new patients |
| Johns Creek Family Physicians, LLC | Family Medicine | Past | Accepting new patients |
Locations
4720 Peachtree Industrial Blvd
Ste 202
Berkeley Lake, GA 30071
Phone (770) 454-9047
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Norcross, GA
- NPI 1396099578
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
Family Medicine
-
- Family Medicine Physician
- Norcross, GA
- NPI 1134362890
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Johns Creek, GA
- NPI 1679632137
-
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Duluth, GA
- NPI 1790715381
-
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1073504643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3814 SATELLITE BLVD STE 100",
"city": "DULUTH",
"state": "GA",
"postal_code": "300965693",
"telephone_number": "770-514-8880",
"fax_number": "678-648-1788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3814 SATELLITE BLVD STE 100",
"city": "DULUTH",
"state": "GA",
"postal_code": "300965693",
"telephone_number": "770-514-8880",
"fax_number": "678-648-1788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "REGINA",
"middle_name": "JIANHUA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "050568",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00951475B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00951475A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.