REGENERATIVE SPORTS MEDICINE INC (NPI# 1831699958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831699958 |
| Entity Type | Organization |
| Organization Name | REGENERATIVE SPORTS MEDICINE INC |
| Practice Address |
3855 Pleasant Hill Rd Duluth GA 30096-1407 |
| Mailing Address |
3223 Bagley Psge Duluth GA 30097-3790 |
| Practice Telephone | 6783126800 |
| Mailing Telephone | 8444694936 |
| Mailing Fax Number | 3368820236 |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | DR. SAADIQ F EL-AMIN III (OWNER/MANAGER) |
| Authorized Official Telephone | 2178163852 |
| Authorized Official Credential | MD, PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
3855 PLEASANT HILL RD |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013915586 | Michael John Pickford | Otolaryngology | 3855 Pleasant Hill Rd, Suite 280, Duluth, GA 30096-1407 | 2005-07-08 |
| 1831639293 | Kelly Lynn Anderson | Specialist/Technologist | 3855 Pleasant Hill Rd, Suite 130, Duluth, GA 30096-1407 | 2017-03-06 |
| 1548709314 | Georgia Plastic Surgery Specialist | General Acute Care Hospital | 3855 Pleasant Hill Rd, Suite #300, Duluth, GA 30096-1407 | 2017-02-14 |
| 1215311402 | Cha Ob/gyn | Obstetrics & Gynecology | 3855 Pleasant Hill Rd, Suite 270, Duluth, GA 30096-1407 | 2015-07-17 |
| 1659794691 | Gwinnett Ear Nose & Throat, LLC | Otolaryngology | 3855 Pleasant Hill Rd, Suite 280, Duluth, GA 30096-1407 | 2014-01-28 |
| 1386083814 | Nicholas Matthew Rossi | Physician Assistant | 3855 Pleasant Hill Rd, Suite 470, Duluth, GA 30096-1407 | 2013-06-18 |
| 1811237571 | Ashley Lucia Feeney | Specialist/Technologist | 3855 Pleasant Hill Rd, Hudgens Building Suite 470, Duluth, GA 30096-1407 | 2013-02-18 |
| 1730438920 | David Robert Braatz | Audiologist | 3855 Pleasant Hill Rd, Suite 280, Duluth, GA 30096-1407 | 2012-09-03 |
| 1528334190 | Southern Plastic Surgery, P.C. | Specialist | 3855 Pleasant Hill Rd, Suite 370, Duluth, GA 30096-1407 | 2012-03-28 |
| 1568766822 | David B Pharis Md PC | Dermatology | 3855 Pleasant Hill Rd, Suite 200, Duluth, GA 30096-1407 | 2010-12-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255865424 | Academy Orthopedics, LLC | Orthopaedic Surgery | 3540 Duluth Park Ln Ste 200, Duluth, GA 30096-6608 | 2017-04-14 |
| 1124258223 | Glen H Rudolph | Orthopaedic Surgery | 1000 E 1st St Ste 404, Duluth, MN 55805-2297 | 2009-07-23 |
| 1972718328 | Saadiq Farid El-amin IIi | Orthopaedic Surgery | 3855 Pleasant Hill Rd Ste 270, Duluth, GA 30096-8093 | 2007-05-11 |
| 1881791200 | Gwinnett Orthopaedic & Sports Medicine | Orthopaedic Surgery | 1455 Pleasant Hill Road, Suite 501, Duluth, GA 30096 | 2006-09-20 |
| 1417068206 | Rick K St Pierre | Orthopaedic Surgery | 10680 Medlock Bridge Road, Ste 102, Duluth, GA 30097 | 2006-08-31 |
| 1144231960 | William R Lundberg | Orthopaedic Surgery | 1012 E 2nd St Bldg A4th, Duluth, MN 55805-2200 | 2006-08-10 |
| 1164486817 | Jean Gerald Nougaisse | Orthopaedic Surgery | 3400 Mcclure Bridge Rd Bldg B, Duluth, GA 30096-6675 | 2006-04-12 |
| 1144735879 | Sfe Advanced Medical Consulting Inc | Orthopaedic Surgery | 3855 Pleasant Hill Rd Ste 270, Duluth, GA 30096-8093 | 2017-12-04 |
| 1649655283 | Academy Orthopedics LLC | Orthopaedic Surgery | 3540 Duluth Park Lane, Ste 220, Duluth, GA 30096 | 2015-07-24 |
| 1215342746 | Tyler Larson | Orthopaedic Surgery | 400 E 3rd St, Duluth, MN 55805-1951 | 2014-06-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.