Individual provider Active NPI

Regina Denise Peavy, CNM

  • Advanced Practice Midwife
  • Atlanta, GA
National Provider Identifier
1154143469
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN260174 Issued in GA
Practice address
550 Peachtree St NE Ste 1220
Atlanta, GA 30308-2237
Phone
(404) 230-5622
NPI assigned
Oct 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X RN260174 GA Primary

Addresses

Primary practice location

550 Peachtree St NE Ste 1220
Atlanta, GA 30308-2237

Mailing address

2718 Kemp CT
Conyers, GA 30094-8901
Phone (678) 462-5276

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250516001544 GA Practitioner - Certified Nurse Midwife (CNM) 1850819574 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Kem Health, LLC CurrentSince May 1, 2025 Accepting new patients

Locations

550 Peachtree St NE
Ste 1220
Atlanta, GA 30308
Phone (404) 230-5622

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9418/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/HHHGCD/Endpoint/HHHGCD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1154143469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 KEMP CT",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300948901",
            "telephone_number": "678-462-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE STE 1220",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082237",
            "telephone_number": "404-230-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAVY",
        "first_name": "REGINA",
        "middle_name": "DENISE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN260174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.