Individual provider Active NPI

Regina F Ayeni, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Athens, GA
National Provider Identifier
1720375165
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN143045 Issued in GA
Practice address
1199 Prince Ave
Athens, GA 30606-2797
Phone
(478) 464-8134
NPI assigned
Jul 6, 2011
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN143045 GA Primary
Psychiatry Physician 2084P0800X RN143045 GA

Addresses

Primary practice location

1199 Prince Ave
Athens, GA 30606-2797

Mailing address

PO Box 705
Powder Springs, GA 30127-0705

Other practice location 1

307 Old Stone Rd
Villa Rica, GA 30180-1214
Phone (770) 459-8799

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
I20110909002599 GA Practitioner - Nurse Practitioner 7517137185 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians

Practice addresses (Care Compare)

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN143045GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Hospitalist Physicians LLC CurrentSince Mar 11, 2024 Accepting new patients
Piedmont Athens Hospitalist Physicians LLC CurrentSince Mar 11, 2024 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Mar 11, 2024 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Mar 11, 2024 Accepting new patients
Mobolaji Shalom Oyebanjo, Inc Psychiatry CurrentSince Aug 6, 2022 Accepting new patients
Vision Medical Consulting, P.C. Past Accepting new patients
Piedmont Athens Specialty Care LLC Past Accepting new patients
Potters Hands Institute LLC PastSince Aug 6, 2022 Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

307 Old Stone Rd
Villa Rica, GA 30180
Phone (770) 459-8799

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCEGCD

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1720375165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 705",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301270705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062797",
            "telephone_number": "478-464-8134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Old Stone Rd",
            "address_purpose": "LOCATION",
            "city": "Villa Rica",
            "state": "GA",
            "postal_code": "301801214",
            "country_code": "US",
            "telephone_number": "770-459-8799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYENI",
        "first_name": "REGINA",
        "middle_name": "F",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN143045",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "RN143045",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.