PRIME REGEN DECATUR – NPI #1811668593
Internal Medicine

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

Health Care Provider Taxonomy Code for Internal Medicine

PRIME REGEN DECATUR is a provider located in DECATUR, GA. NPPES has assigned the NPI number 1811668593 to PRIME REGEN DECATUR on September 23, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. PRIME REGEN DECATUR is also known by the name PRIME REGEN DECATUR LLC. The primary taxonomy selected by this provider is 207RR0500X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Rheumatology

The NPI profile was last updated on Oct 29, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRIME REGEN DECATUR below.

NPI Profile for
PRIME REGEN DECATUR

NPI Number
1811668593
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRIME REGEN DECATUR
Other Name: PRIME REGEN DECATUR LLC
Primary location
2680 LAWRENCEVILLE HWY STE 101
DECATUR, GA 30033-2526
Phone: (470) 292-3820 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RANDALL HAUPT
EXECUTIVE VICE PRESIDENT, SGI
Phone: (470) 292-3820
Updated
Certification Date
Oct 29, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RR0500X
- Internal Medicine / Rheumatology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
[email protected]
Content Type
CSV
Affiliation
N
Endpoint Location
2680 LAWRENCEVILLE HWY STE 101,
DECATUR, GA 77025-1669