WEST GEORGIA REGENERATIVE MEDICINE LLC – NPI #1629555172
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

WEST GEORGIA REGENERATIVE MEDICINE LLC is a provider located in COLUMBUS, GA. NPPES has assigned the NPI number 1629555172 to WEST GEORGIA REGENERATIVE MEDICINE LLC on July 26, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Aug 07, 2025. 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 WEST GEORGIA REGENERATIVE MEDICINE LLC below.

NPI Profile for
WEST GEORGIA REGENERATIVE MEDICINE LLC

NPI Number
1629555172
Enumeration Date

(about 8 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
WEST GEORGIA REGENERATIVE MEDICINE LLC
Primary location
3624 EDGEWOOD RD STE B
COLUMBUS, GA 31907
Phone: (762) 204-4103 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL HANIOTIS
AUTHORIZED OFFICIAL/PARTNER
Phone: (762) 204-4103
Updated
Certification Date
Aug 07, 2025

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
208D00000X
- General Practice (Primary)
225100000X
- Physical Therapist

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.