Active NPI
Regenerative Joint Clinics LLC
- Medical Specialty Clinic/Center
- Riverdale, GA
National Provider Identifier
1548838485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- REGENERATIVE JOINT CLINICS LLC
- Practice address
- 483 Upper Riverdale Rd SW Ste F
Riverdale, GA 30274-2579 - Phone
- (470) 895-0610
- Fax
- (706) 666-1325
- NPI assigned
- Jun 16, 2021
- Last updated
- Aug 14, 2026
- 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
- Jack Wright
- Title
- Managing Member
- Phone
- (470) 895-0610
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | ||
| Medical Specialty Clinic/Center | 261QM2500X | NU | Primary |
Addresses
Primary practice location
483 Upper Riverdale Rd SW Ste F
Riverdale, GA 30274-2579
Mailing address
483 Upper Riverdale Rd SW Ste F
Riverdale, GA 30274-2579
Phone (470) 895-0610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
60 Oak Hill Blvd
#30
Newnan, GA 30265
Phone (470) 895-0610
Practitioners & affiliated clinicians
Practitioners 9
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.
-
- Family Nurse Practitioner
- Riverdale, GA
- NPI 1760092134
-
- Family Nurse Practitioner
- Dallas, GA
- NPI 1447748066
-
- Family Nurse Practitioner
- Dunwoody, GA
- NPI 1750951349
-
- Family Nurse Practitioner
- Griffin, GA
- NPI 1467745422
-
- Internal Medicine Physician
- Stockbridge, GA
- NPI 1982876579
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1134784481
-
- Neurology Physician
- Lagrange, GA
- NPI 1205828993
-
- Family Nurse Practitioner
- Buford, GA
- NPI 1811601032
-
- Family Nurse Practitioner
- Atlanta, GA
- NPI 1952958787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786665600000",
"number": "1548838485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "483 UPPER RIVERDALE RD SW STE F",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302742579",
"telephone_number": "470-895-0610",
"fax_number": "706-666-1325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "483 UPPER RIVERDALE RD SW STE F",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302742579",
"telephone_number": "470-895-0610",
"fax_number": "706-666-1325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENERATIVE JOINT CLINICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-16",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "JACK",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "470-895-0610"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverdale, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.