Active NPI
Regina F Ayeni, NP
- Psychiatric/Mental Health Nurse Practitioner
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN143045
- Practice address
- 1199 Prince Ave
Athens, GA 30606-2797 - Phone
- (478) 464-8134
- NPI assigned
- Jul 6, 2011
- Last updated
- Jun 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN143045 | GA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Hospitalist Physicians LLC | Current | Accepting new patients | |
| Piedmont Athens Hospitalist Physicians LLC | Current | Accepting new patients | |
| Columbus Ambulatory Healthcare Services, Inc. | Current | Accepting new patients | |
| Columbus Ambulatory Healthcare Services, Inc. | Current | Accepting new patients | |
| Mobolaji Shalom Oyebanjo, Inc | Psychiatry | Current | 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 | Past | 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
- 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.
-
- Family Medicine Physician
- Stockbridge, GA
- NPI 1548219660
-
- Family Medicine Physician
- Columbus, GA
- NPI 1790733244
-
dba The Potter Behavioral Medicine Clinic
- Psychiatry Physician
- Villa Rica, GA
- NPI 1922280684
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1578079000
-
- Family Medicine Physician
- Phenix City, AL
- NPI 1699240531
-
- Cardiovascular Disease Physician
- Athens, GA
- NPI 1184130627
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Villa Rica, GA
- NPI 1386964690
-
dba Georgia Long Term Care and Consulting
- Family Medicine Physician
- Tucker, GA
- NPI 1073562922
-
- Cardiovascular Disease Physician
- Marietta, GA
- NPI 1457320319
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.