Individual provider Active NPI

Regina G Cody, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, GA
National Provider Identifier
1619054459
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN-NP117919 Issued in GA
Practice address
1067 Peachtree St
Louisville, GA 30434-1599
Phone
(478) 625-7000
Fax
(478) 625-8907
NPI assigned
Nov 1, 2006
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0364455 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-NP117919 GA Primary

Addresses

Primary practice location

1067 Peachtree St
Louisville, GA 30434-1599

Mailing address

19 Lester Rd
Statesboro, GA 30458-2119
Phone (912) 662-6501

Other practice location 1

1345 Redmond Cir NW
Rome, GA 30165-1307
Phone (910) 742-9243

Other practice location 2

19 Lester Rd
Statesboro, GA 30458-2119
Phone (912) 662-6501 ext. 864

Other identifiers 1

IdentifierTypeStateIssuer
976152836DMedicaidGA

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
I20060227000482 GA Practitioner - Nurse Practitioner 2567478639 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1067 Peachtree St
Louisville, GA 30434-1558
Phone (478) 625-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0364455GAMDFamily Nurse Practitioner
APRN-NP117919GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Briar Creek Family Care Family CurrentSince Dec 1, 2025 Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville CurrentSince Jul 28, 2025 Accepting new patients
Senior Psych Solutions Corp Past Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients

Locations

1067 Peachtree St
Louisville, GA 30434
Phone (478) 625-7000

639 Vestal Rd
Sardis, GA 30456
Phone (478) 368-5321

Interoperability endpoints

  • Direct secure messaging: regina.cody@emc.gadirect.net
  • Direct secure messaging: regina.cody1@gadirect.net

Organizations & group practices 5

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1619054459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LESTER RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304582119",
            "telephone_number": "912-662-6501",
            "fax_number": "912-681-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 PEACHTREE ST",
            "city": "LOUISVILLE",
            "state": "GA",
            "postal_code": "304341599",
            "telephone_number": "478-625-7000",
            "fax_number": "478-625-8907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1345 Redmond Cir NW",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301651307",
            "country_code": "US",
            "telephone_number": "910-742-9243",
            "fax_number": "888-746-1787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Lester Rd",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304582119",
            "country_code": "US",
            "telephone_number": "912-662-6501 x864",
            "fax_number": "912-681-1012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CODY",
        "first_name": "REGINA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "0364455",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "APRN-NP117919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "976152836D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, GA

Sources for this page

Verify at the official NPI Registry.