Conscious Regenerative Medicine LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CONSCIOUS REGENERATIVE MEDICINE LLC

Practice address

2955 Bethany BND Ste 200
Alpharetta, GA 30004-4597

Phone

(678) 261-7879

NPI assigned

Jul 21, 2025

Last updated

Jul 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Truc Nguyen, MDNPI 1952716219

Title

Clinic Medical Director / Owner

Phone

(770) 789-9497

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Locations

Practitioners 3

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.

• Truc Phuong Nguyen, M.D.

  • Family Medicine Physician
  • Lawrenceville, GA
  • NPI 1952716219
  Medicare reassignment NPD Authorized official
• Lee Brian Brandt Jr., PA

  • Medical Physician Assistant
  • Acworth, GA
  • NPI 1609840511
  Medicare reassignment NPD
• Ancelle Mae Jackson, APRN

  • Family Nurse Practitioner
  • Bonaire, GA
  • NPI 1477027373
  Medicare reassignment NPD

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1154213353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 BETHANY BND STE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300044597",
            "telephone_number": "678-261-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 BETHANY BND STE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300044597",
            "telephone_number": "678-261-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSCIOUS REGENERATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TRUC",
        "authorized_official_title_or_position": "CLINIC MEDICAL DIRECTOR / OWNER",
        "authorized_official_telephone_number": "770-789-9497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iola Dawn Conchar
• Concierge Sports and Family Medicine PC
• Confident
• Jennifer Conk, OTR/L
• Julie Conrad, LPC
• Bruce Consor, O.D.
• Jakarynn Conyers
• Angelique Cook, NP
• Trenea Cooke
• Coolsystems, Inc. (Game Ready)

• Clinic/Center in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.