REGINA PEAVY WILEY
NPI 1083488167
Nurse Practitioner - Psychiatric/Mental Health in Atlanta, GA

Q: What is Regina Wiley's NPI number?

The NPI number for Regina Wiley is 1083488167. It was assigned to this individual provider in the NPPES registry on November 9, 2023.

Q: What is Regina Wiley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Regina Wiley was last updated on November 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 09, 2023PECOS EnrolledAccepts Medicare Assignment

424 DECATUR ST SE, ATLANTA, GA 30312(678) 843-8600 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Regina Peavy Wiley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGINA PEAVY WILEY (NPI 1083488167) is an individual psychiatric/mental health provider in Atlanta, Georgia, licensed in Georgia (RN247535) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1083488167

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameREGINA PEAVY WILEY

Location Address424 DECATUR ST SEAtlanta, GA 30312-1848

Mailing Address424 Decatur St SeAtlanta, GA 30312-1848 · (678) 843-8600

Phone(678) 843-8600

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateNovember 9, 2023

NPPES CertifiedNovember 9, 2023

✔ NPI 1083488167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in GA · RN247535

424 DECATUR ST SE, Atlanta, GA 30312

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Regina Peavy Wiley is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800245572

PECOS Enrollment IDI20231207001666

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30312 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ASTRID ROZO-RIVERA F-NP

Nurse Practitioner (Family)