Organization Active NPI

Joint Regeneration of North Atlanta LLC

  • Family Medicine Physician
  • Sandy Springs, GA
National Provider Identifier
1275122376
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JOINT REGENERATION OF NORTH ATLANTA LLC
Practice address
750 Hammond Dr Ste 150
Sandy Springs, GA 30328-5532
Phone
(404) 531-0660
NPI assigned
Jan 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Authorized official

Name
Kristyn Manzi
Title
Owner
Phone
(404) 531-0660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

750 Hammond Dr Ste 150
Sandy Springs, GA 30328-5532

Mailing address

750 Hammond Dr Ste 150
Sandy Springs, GA 30328-5532

National Provider Directory

National Provider Directory

Locations

750 Hammond Dr
Bldg 6-150
Sandy Springs, GA 30328

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1275122376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 HAMMOND DR STE 150",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303285532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 HAMMOND DR STE 150",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303285532",
            "telephone_number": "404-531-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOINT REGENERATION OF NORTH ATLANTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "MANZI",
        "authorized_official_first_name": "KRISTYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-531-0660"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.