REGENERATIVE MEDICAL CENTER, PC (NPI# 1992347587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992347587 |
Entity Type | Organization |
Organization Name | REGENERATIVE MEDICAL CENTER, PC |
Practice Address |
4646 N Shallowford Rd Atlanta GA 30338-6308 |
Mailing Address |
4707 Ashford Dunwoody Rd Unit 468628 Atlanta GA 31146-0117 |
Practice Telephone | 7702857879 |
Mailing Telephone | 7702857879 |
Enumeration Date | 2019-10-15 |
Last Update Date | 2020-10-13 |
Authorized Official Name | JOAN OLUBUNMI IFARINDE (DIRECTOR) |
Authorized Official Telephone | 7702857879 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
Street Address |
4646 N SHALLOWFORD RD |
City | ATLANTA |
State | GA |
Zip Code | 30338-6308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114553278 | Mallory Howe | Naturopath | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2020-03-19 |
1548896780 | Jenna Davis | Naturopath | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2020-03-19 |
1881220010 | Taylor Lee Howell | Naturopath | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2020-03-19 |
1558997791 | Megan Marie Borreson | Naturopath | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2020-03-19 |
1942846464 | Katelyn E Atwell | Health Educator | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2019-11-19 |
1255973046 | Amy Tarquini | Naturopath | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2019-10-13 |
1407321334 | Adelena Marie Izold | Naturopath | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2018-10-08 |
1437688355 | Loren Kennedy Psalidas | Dietitian, Registered | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2017-06-05 |
1295181261 | Progressive Healthcare & Diagnostics, LLC | General Practice | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2016-05-10 |
1699141218 | Promed Accident Injury Center LLC | Chiropractor | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2015-08-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629606264 | Jasmine Donesha Shackelford | Student in an Organized Health Care Education/Training Program | Emory Family Medicine, 4500 North Shallowford Road, Atlanta, GA 30338 | 2020-03-30 |
1558907774 | Brianna Harding | Pharmacist | 4608 Devonshire Road, Dunwoody, GA 30338 | 2019-11-22 |
1194382135 | Kadan Corporation | In Home Supportive Care | 1848 Independence Square, Suite A, Dunwoody, GA 30338 | 2019-05-24 |
1144789553 | Carla Fabiola Nunez | Dentist | 5200 Roberts Dr, Atlanta, GA 30338 | 2019-03-15 |
1861978793 | Uhs of Peachford Lp | Pharmacy | 2150 Peachford Rd Ste D, Atlanta, GA 30338 | 2018-07-13 |
1275047474 | Mary Rose Ziemba | Physical Therapist | 4516 Chamblee Dunwoody Rd # 22, Dunwoody, GA 30338 | 2017-11-27 |
1992223531 | Joel Moorhead | Physical Medicine & Rehabilitation | 1521 Eidson Hall Drive, Dunwoody, GA 30338 | 2017-09-05 |
1336667997 | Absolute Holistic Medicine | Clinic/Center | 1868 Independence Sq, Suite A, Atlanta, GA 30338 | 2017-09-05 |
1164947115 | Modern Dermatology Atlanta | Dermatology | 5696 Whitehall Walk, Dunwoody, GA 30338 | 2017-08-11 |
1366972150 | A Caring Approach To Home Health Services Inc. | In Home Supportive Care | 200 Ashford Center North, Suite 370, Atlanta, GA 30338 | 2017-06-14 |
Find all providers in zip 30338 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588219810 | Dayana Regis | Pediatrics | 808 York Ave Sw, Atlanta, GA 30310 | 2019-08-04 |
1922660547 | Taylor Noelle Hemmerick | Pediatrics | 312 Highland Square Dr Ne, Atlanta, GA 30306-2283 | 2019-07-03 |
1710499983 | Muin Joseph Khoury | Pediatrics | 1923 Mercedes Ct Ne, Atlanta, GA 30345-3939 | 2017-10-27 |
1730602459 | Brandi Jo Middour-oxler | Pediatrics | 1605 Chantilly Dr Ne Ste 305, Atlanta, GA 30324-3267 | 2017-07-25 |
1043743354 | Sally Azer | Pediatrics | 2015 Uppergate Drive 423b, Atlanta, GA 30322-1910 | 2017-04-05 |
1588027502 | Lauren Roach | Pediatrics | 2015 Uppergate Drive Rm 534, Atlanta, GA 30322-0001 | 2016-03-29 |
1760858252 | Baybol Pediatrics LLC | Pediatrics | 9 Dunwoody Park Ste 126, Atlanta, GA 30338-6712 | 2015-08-19 |
1174919500 | John Charles Watson | Pediatrics | 2616 Varner Dr Ne, Atlanta, GA 30345-1559 | 2015-04-13 |
1679967582 | Elizabeth Sinclair | Pediatrics | Pediatric Divisions of Gi and Transplant Hepatology, 2015 Uppergate Drive Ne, Atlanta, GA 30322 | 2015-03-28 |
1447644430 | Juhi Jain | Pediatrics | 2015 Uppergate Drive Emory Children's Center #400, Atlanta, GA 30322 | 2015-03-27 |
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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.