Individual provider Active NPI

Regina Antoinette Loadholt, APRN-NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Snellville, GA
National Provider Identifier
1376484139
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
299616 Issued in GA
Practice address
4050 Kittery PT
Snellville, GA 30039-3119
Phone
(404) 977-3218
Fax
(404) 977-3218
NPI assigned
Apr 3, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 299616 GA Primary

Addresses

Primary practice location

4050 Kittery PT
Snellville, GA 30039-3119

Mailing address

4050 Kittery PT
Snellville, GA 30039-3119
Phone (404) 977-3218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
299616GAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1775174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1376484139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 KITTERY PT",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300393119",
            "telephone_number": "404-977-3218",
            "fax_number": "404-977-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 KITTERY PT",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300393119",
            "telephone_number": "404-977-3218",
            "fax_number": "404-977-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOADHOLT",
        "first_name": "REGINA",
        "middle_name": "ANTOINETTE",
        "credential": "APRN-NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-03",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "299616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.