Atlanta Regenerative Healthcare LLC
Organization Active NPI Other Specialist/Technologist · Grayson, GA
NPI 1467052431 · NPPES record last updated Oct 29, 2020
Key facts
- NPI
- 1467052431
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Other Specialist/Technologist 246Z00000X
- Legal business name
- ATLANTA REGENERATIVE HEALTHCARE LLC
- Practice address
- 2445 Moon Rd Ste 4
Grayson, GA 30017-7851 - Phone
- (678) 985-7286
- NPI assigned
- Oct 29, 2020
- Organization subpart
- No
Authorized official
- Name
- Alex Jutis
- Title
- Ceo
- Phone
- (678) 730-6240
Practitioners 5
-
Michael Patrick Anderson, D.C.
-
Lashaun Denise Elliott, M.D.
-
Lela Sandiford, ARNP
National Provider Directory
Locations
5610 Bethelview Rd
Ste 300
Cumming, GA 30040
Phone (770) 887-9443
2445 Moon Rd
Ste 4
Grayson, GA 30017
Phone (678) 985-7286
3441 Lawrenceville Suwanee Rd
Ste Ab
Suwanee, GA 30024
Phone (770) 516-7477
3441 Lawrenceville Suwanee Rd
Ste A
Suwanee, GA 30024
Phone (678) 730-7305
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist |
246Z00000X | Yes |
Addresses
Primary practice location
2445 Moon Rd Ste 4
Grayson, GA 30017-7851
Mailing address
2133 Highway 317 Ste 12318
Suwanee, GA 30024-2648
Phone (678) 730-6240
Other practice location 1
2085 Hamilton Creek Pkwy Ste 160
Dacula, GA 30019-5402
Phone (678) 546-8044
Other practice location 2
120 N Medical Pkwy Ste 201
Woodstock, GA 30189-7062
Phone (770) 516-7477
Other practice location 3
47 Highland Pavilion Ct Ste 102
Hiram, GA 30141-4261
Phone (770) 439-6997
Other practice location 4
5610 Bethelview Rd Ste 300
Cumming, GA 30040-7523
Phone (770) 887-9443
Other practice location 5
5910 Suwanee Dam Rd
Sugar Hill, GA 30518-5648
Phone (678) 714-3053
Other practice location 6
3441 Lawrenceville Suwanee Rd Ste A
Suwanee, GA 30024-6503
Phone (678) 730-7305
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Grayson |
Other providers in Grayson, GA
- Niyati Amin
- Nadine Anderson-Greenland
- Angelic Clinical Services, LLC
- Chidinma Anuliekette
- At My Place, My Home LLC
- Zenia Ballard
- Jazmin Shanee Barnes
- Arlene M Barnick
- Erica Baruti
- Danielle Basile
All providers in Grayson, GA · Other Specialist/Technologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.