Organization Active NPI

Regenerative Health Solutions Chiropractic, Nutrition, Detoxification

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1316580145
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
REGENERATIVE HEALTH SOLUTIONS CHIROPRACTIC, NUTRITION, DETOXIFICATION
Doing business as
Federal Health Services
Practice address
3823 Roswell Rd Ste 202
Marietta, GA 30062-6278
Phone
(678) 383-6643
Fax
(877) 395-6761
NPI assigned
Oct 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Authorized official

Name
Dr. Malcolm Warren, DC
Title
Owner
Phone
(229) 444-3127

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X

Addresses

Primary practice location

3823 Roswell Rd Ste 202
Marietta, GA 30062-6278

Mailing address

3823 Roswell Rd Ste 202
Marietta, GA 30062-6278
Phone (678) 383-6643

Other names 1

  • Federal Health Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1316580145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3823 ROSWELL RD STE 202",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626278",
            "telephone_number": "678-383-6643",
            "fax_number": "877-395-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3823 ROSWELL RD STE 202",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626278",
            "telephone_number": "678-383-6643",
            "fax_number": "877-395-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE HEALTH SOLUTIONS CHIROPRACTIC, NUTRITION, DETOXIFICATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-444-3127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Federal Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.