Active NPI
Joint Regeneration of North Atlanta LLC
- Family Medicine Physician
- Sandy Springs, GA
National Provider Identifier
1275122376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.
-
- Registered Nurse
- Rome, GA
- NPI 1861130874
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.