Regina Phillips Wiley, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN201982 Issued in GA

Practice address

136 W Dykes St
Cochran, GA 31014

Phone

(478) 271-0200

Fax

(478) 934-8887

NPI assigned

Feb 10, 2017

Last updated

Aug 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Vineville Internal Medicine LLCGroup PAC ID 0941281711, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Emory Houston Hospital Warner Robins Hospital, Warner Robins, GA, CCN 110069
• Atrium Health Navicent Peach Hospital, Byron, GA, CCN 111310
• Bleckley Memorial Hospital Hospital, Cochran, GA, CCN 111302

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: reginawiley@trh.allscriptsdirect.net

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.

• Vineville Internal Medicine LLC

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1396955431
  Medicare reassignment Care Compare group NPD
• Careconnect Health, Inc.

  dba CareConnect Convenient Care

  • Federally Qualified Health Center (FQHC)
  • Perry, GA
  • NPI 1659819357
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bleckley County Hospital

  dba Bleckley Memorial Hospital

  • Critical Access Hospital
  • Cochran, GA
  • NPI 1578637526
  Care Compare affiliation
• Houston Hospitals Inc

  dba Emory Hospital Perry

  • General Acute Care Hospital
  • Perry, GA
  • NPI 1891808499
  Care Compare affiliation
• Houston Hospitals Inc

  dba Emory Hospital Warner Robins

  • General Acute Care Hospital
  • Warner Robins, GA
  • NPI 1962435792
  Care Compare affiliation
• The Medical Center of Peach County, Inc

  dba Atrium Health Navicent Peach

  • Critical Access Hospital
  • Byron, GA
  • NPI 1114923406
  Care Compare affiliation

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1306384250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 PERRY HWY",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310366748",
            "telephone_number": "478-783-0299",
            "fax_number": "478-783-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 W DYKES ST",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "31014",
            "telephone_number": "478-271-0200",
            "fax_number": "478-934-8887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "277 Perry Pkwy",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Perry",
            "state": "GA",
            "postal_code": "310698427",
            "country_code": "US",
            "telephone_number": "478-988-6087",
            "fax_number": "478-988-6092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILEY",
        "first_name": "REGINA",
        "middle_name": "PHILLIPS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN201982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Regional Hospital (Taylor Physicians Practice # 10)
• Angela Tillman
• Mallory Trawick
• Wal-Mart Stores East LP (Walmart Pharmacy 10-7246)
• Michelle Waters, OTR
• Amy D Williams, MED CRC LPC
• William Lee Wimberly, LMT
• Kathy Diane Wood, DC
• Rosanna Wynne, RN
• Kenneth Eugene Youngblood, PTA

• Family Nurse Practitioner in Cochran, GA
• Providers in Cochran, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.

Verify at the official NPI Registry.