REGENERATIVE MEDICAL CENTER, PC


Address: 4646 N Shallowford Rd, Atlanta, GA 30338-6308
Phone: 7702857879

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 4646 N SHALLOWFORD RD
City ATLANTA
State GA
Zip Code 30338-6308

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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Competitor

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City ATLANTA
Zip Code 30338

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Dataset Information

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.

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