Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Regina Peavy Wiley

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1083488167

Regina Peavy Wiley is a Nurse Practitioner in Atlanta, Georgia. Qualified in 2022, 4 years ago. Practices with Saint Joseph's Mercy Care Services Inc, a 22-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2023
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Practice location Address checks out

424 Decatur St SE
Atlanta, GA 30312-1848
Phone: (678) 843-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN247535 (GA)

Record details

NPI number1083488167
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 9, 2023
Last updated in NPPESNovember 9, 2023
Certification dateNovember 9, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Saint Joseph'S Mercy Care Services Inc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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