Individual provider Active NPI

Rebecca Pihera, APRN-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Decatur, GA
National Provider Identifier
1407258502
Registry record updated Jun 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN167855 Issued in GA
Practice address
315 W Ponce de Leon Ave Ste 546
Decatur, GA 30030-2448
Phone
(404) 997-8043
Fax
(949) 757-8783
NPI assigned
Sep 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2024

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 Practitioner 363LP0808X RN167855 GA Primary

Addresses

Primary practice location

315 W Ponce de Leon Ave Ste 546
Decatur, GA 30030-2448

Mailing address

315 W Ponce de Leon Ave Ste 546
Decatur, GA 30030-2448
Phone (404) 997-8043

Other identifiers 1

IdentifierTypeStateIssuer
003204501AMedicaidGA

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
I20190328003092 GA Practitioner - Nurse Practitioner 2961742903 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chris 180, Inc. CurrentSince Oct 21, 2021 Accepting new patients
Psych Care Atl Psychiatric/Mental Health CurrentSince Jun 30, 2024 Accepting new patients

Locations

1017 Fayetteville Rd SE
Atlanta, GA 30316
Phone (404) 324-4190

3103 Clairmont Rd NE
Ste B
Brookhaven, GA 30329
Phone (678) 302-1945

315 W Ponce de Leon Ave
Ste 546
Decatur, GA 30030
Phone (404) 997-8043

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719619200000",
    "number": "1407258502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W PONCE DE LEON AVE STE 546",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302448",
            "telephone_number": "404-997-8043",
            "fax_number": "949-757-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W PONCE DE LEON AVE STE 546",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302448",
            "telephone_number": "404-997-8043",
            "fax_number": "949-757-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIHERA",
        "first_name": "REBECCA",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN167855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003204501A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.