Regenesismd

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

REGENESISMD

Practice address

8020 Creedmoor Rd
Raleigh, NC 27613-4363

Phone

(919) 322-2844

Fax

(919) 322-2898

NPI assigned

Jun 25, 2025

Last updated

Jun 25, 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

Bhavna Vaidya

Title

Owner/Founder

Phone

(919) 622-4319

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1417845777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 CREEDMOOR RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276134363",
            "telephone_number": "919-322-2844",
            "fax_number": "919-322-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 CREEDMOOR RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276134363",
            "telephone_number": "919-322-2844",
            "fax_number": "919-322-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENESISMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "VAIDYA",
        "authorized_official_first_name": "BHAVNA",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "919-622-4319"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conor Regan, M.D.
• Daniel Nealon Regan, PA
• Erin Colleen Regan, M.D.
• Paul David Regan, MS, LPC, CPHQ
• Shilpa Mangalore Pai Regan, PH.D.
• Sarah Elena Regensburger, LCSW, LCAS
• Regional Anesthesia, PLLC
• Lindsay Register, LCSWA
• Luann Parmelee Regittko, CCC-SLP
• Kristi Lee Reguin-Hartman, DNP, APRN, ACNS-BC

• Primary Care Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Primary Care Clinic/Center in North Carolina

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