Individual provider Active NPI

Akilah Alston-Regan, NP

  • Family Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1780219469
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN253678 Issued in GA
Practice address
2890 Delk Rd SE
Marietta, GA 30067-5326
Phone
(770) 955-8620
Fax
(770) 955-0377
NPI assigned
Mar 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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 RN253678 GA Primary

Addresses

Primary practice location

2890 Delk Rd SE
Marietta, GA 30067-5326

Mailing address

345 Lanier CT
Hiram, GA 30141-2072
Phone (973) 704-7154

Other practice location 1

736 W Bankhead Hwy
Villa Rica, GA 30180-1501
Phone (973) 704-7154

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
I20200423002145 GA Practitioner - Nurse Practitioner 6103256656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

120 Greystone Power Blvd
Dallas, GA 30157-8297

12201 Hwy 92
Suite D
Woodstock, GA 30188-7141
Phone (770) 517-4621

2710 Fairburn Rd
Douglasville, GA 30135-2942
Phone (943) 202-8640

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

662 Carrollton Villa Rica Hwy
Villa Rica, GA 30180-4969

8901 Stonebridgde Blvd
Suite 100
Douglasville, GA 30134-2253
Phone (943) 202-7100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Jul 30, 2023 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

2890 Delk Rd SE
Marietta, GA 30067
Phone (770) 427-2457

Interoperability endpoints

  • Direct secure messaging: akilah.alston-regan@782095967715332.direct.elationemr.com

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": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1780219469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 LANIER CT",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412072",
            "telephone_number": "973-704-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 DELK RD SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675326",
            "telephone_number": "770-955-8620",
            "fax_number": "770-955-0377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "736 W Bankhead Hwy",
            "address_purpose": "LOCATION",
            "city": "Villa Rica",
            "state": "GA",
            "postal_code": "301801501",
            "country_code": "US",
            "telephone_number": "973-704-7154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALSTON-REGAN",
        "first_name": "AKILAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN253678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.