Organization Active NPI

The Regeneration Project LLC

  • Community/Behavioral Health Agency
  • Warner Robins, GA
National Provider Identifier
1336308501
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE REGENERATION PROJECT LLC
Practice address
108 Byrd Way Ste 400
Warner Robins, GA 31088-9195
Phone
(443) 802-4860
Fax
(478) 953-0368
NPI assigned
Jun 3, 2008
Organization subpart
No

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
Mr. Kwame Rich
Title
Ceo - Ga
Phone
(443) 802-4860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

108 Byrd Way Ste 400
Warner Robins, GA 31088-9195

Mailing address

108 Byrd Way Ste 400
Warner Robins, GA 31088-9195
Phone (478) 953-0330

Other practice location 1

1 N Charles St Ste 2400
Baltimore, MD 21201-3762
Phone (443) 413-5886

Other identifiers 1

IdentifierTypeStateIssuer
992400100MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
The Regeneration Project LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

108 Byrd Way
Ste 400
Warner Robins, GA 31088
Phone (443) 802-4860

1 N Charles St
Ste 1400
Baltimore, MD 21201
Phone (410) 254-6175

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1336308501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BYRD WAY STE 400",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310889195",
            "telephone_number": "478-953-0330",
            "fax_number": "478-953-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BYRD WAY STE 400",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310889195",
            "telephone_number": "443-802-4860",
            "fax_number": "478-953-0368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 N Charles St Ste 2400",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212013762",
            "country_code": "US",
            "telephone_number": "443-413-5886",
            "fax_number": "410-254-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE REGENERATION PROJECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "KWAME",
        "authorized_official_title_or_position": "CEO - GA",
        "authorized_official_telephone_number": "443-802-4860",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "992400100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.