Individual provider Active NPI

Regina Davis, NP

  • Family Nurse Practitioner
  • Alpharetta, GA
National Provider Identifier
1386126290
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN156624 Issued in GA
Practice address
480 N Main St Ste 202
Alpharetta, GA 30009-8386
Phone
(678) 619-1974
Fax
(678) 619-1975
NPI assigned
Sep 6, 2018
Last updated
Sep 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN156624 GA Primary

Addresses

Primary practice location

480 N Main St Ste 202
Alpharetta, GA 30009-8386

Mailing address

3218 Cranberry LN
Buford, GA 30519-4186
Phone (770) 856-3372

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190418000755 GA Practitioner - Nurse Practitioner 5294076352 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allcare Ga PCGroup PAC ID 2668907940, 36 clinicians

Practice addresses (Care Compare)

6135 Ollie Walk
Suite 100
Alpharetta, GA 30005-2461
Phone (678) 609-5678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Family Medicine Inc CurrentSince Mar 15, 2019 Accepting new patients
Allcare Ga PC CurrentSince Aug 26, 2025 Accepting new patients
Capital Healthcare PC PastSince Aug 26, 2025 Accepting new patients

Locations

480 N Main St
Ste 202
Alpharetta, GA 30009
Phone (678) 433-9735

6135 Ollie Walk
Ste 100
Alpharetta, GA 30005
Phone (678) 609-5678

6135 Ollie Walk
Ste 200
Alpharetta, GA 30005

1070 Braselton Village Pkwy
#100
Braselton, GA 30517

13800 Highway 9 N
Ste K
Milton, GA 30004
Phone (404) 400-2722

4605 Roswell Rd
Sandy Springs, GA 30342
Phone (678) 509-7462

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9927/brand/1/csg/1/fhir/r4
  • Direct secure messaging: regina.davis.1@33029.direct.athenahealth.com

Organizations & group practices 4

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": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1386126290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 CRANBERRY LN",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305194186",
            "telephone_number": "770-856-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 N MAIN ST STE 202",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300098386",
            "telephone_number": "678-619-1974",
            "fax_number": "678-619-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "REGINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN156624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.