NPIMap

Organization Active NPI

Regenerative Orthopaedics and Spine Institute, LLC

  • Durable Medical Equipment & Medical Supplies
  • Atlanta, GA
National Provider Identifier
1043070014
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
REGENERATIVE ORTHOPAEDICS AND SPINE INSTITUTE, LLC
Practice address
1819 Peachtree Street
Atlanta, GA 30309
Phone
(770) 892-0300
Fax
(470) 878-1495
NPI assigned
Mar 19, 2024
Last updated
Apr 25, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
REGENERATIVE ORTHOPAEDICS AND SPINE INSTITUTE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Philip G Ploskas, MD
Title
Ceo
Phone
(770) 892-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1819 Peachtree Street
Atlanta, GA 30309

Mailing address

135 N. Park Place
Suite 101
Stockbridge, GA 30281
Phone (770) 892-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250708003546 GA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 8729397617 Practice locations: Atlanta, GA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Regenerative Orthopaedic4 organizations share this tax ID, including this one
Part of
Regenerative Orthopaedic

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1819 Peachtree Rd NE
Atlanta, GA 30309
Phone (770) 892-0300

135 N Park Pl
Ste 210
Stockbridge, GA 30281
Phone (770) 892-0273

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1043070014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N. PARK PLACE",
            "address_2": "SUITE 101",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "30281",
            "telephone_number": "770-892-0300",
            "fax_number": "470-878-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 PEACHTREE STREET",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30309",
            "telephone_number": "770-892-0300",
            "fax_number": "470-878-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE ORTHOPAEDICS AND SPINE INSTITUTE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGENERATIVE ORTHOPAEDICS AND SPINE INSTITUTE, LLC",
        "enumeration_date": "2024-03-19",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "PLOSKAS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-892-0300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.