Individual provider Active NPI

Regina Vielma, D.C.

  • Chiropractor
  • Peachtree City, GA
National Provider Identifier
1144565185
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29703 Issued in CA
Practice address
401 Dividend Dr Ste F
Peachtree City, GA 30269-1939
Phone
(949) 798-9840
NPI assigned
Dec 3, 2012
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29703 CA Primary

Addresses

Primary practice location

401 Dividend Dr Ste F
Peachtree City, GA 30269-1939

Mailing address

401 Dividend Dr Ste F
Peachtree City, GA 30269-1939
Phone (949) 798-9840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230124000964 GA Practitioner - Chiropractic 2668618331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

211 Prime PT
Suite C
Peachtree City, GA 30269-3334
Phone (949) 798-9844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC29703CAMDChiropractor
29703CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Amr & Health Inc Chiropractor CurrentSince Jun 29, 2025 Accepting new patients
Amr of PTC Chiropractor CurrentSince Sep 1, 2022 Accepting new patients

Locations

211 Prime Pt
Ste 2C
Peachtree City, GA 30269
Phone (415) 472-1700

401 Dividend Dr
Ste F
Peachtree City, GA 30269
Phone (949) 798-9840

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1144565185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 DIVIDEND DR STE F",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691939",
            "telephone_number": "949-798-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DIVIDEND DR STE F",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691939",
            "telephone_number": "949-798-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIELMA",
        "first_name": "REGINA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-03",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.