West Georgia Regenerative Medicine LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

WEST GEORGIA REGENERATIVE MEDICINE LLC

Practice address

3624 Edgewood Rd Ste B
Columbus, GA 31907

Phone

(762) 204-4103

NPI assigned

Jul 26, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Michael Haniotis, DCNPI 1275829657

Title

Authorized Official/Partner

Phone

(762) 204-4103

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 7

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

• Jorge Pabia

  • Physical Therapist
  • Columbus, GA
  • NPI 1316016298
  Medicare reassignment Care Compare group NPD
• Marissa Sellers, PT

  • Physical Therapist
  • Dacula, GA
  • NPI 1275015083
  Medicare reassignment Care Compare group NPD
• Maegan Bell Huff, NP

  • Family Nurse Practitioner
  • Columbus, GA
  • NPI 1487177168

  Multi-Specialty

  Medicare reassignment NPD
• Najeeb Irtaza Siddique, MD

  • Anesthesiology Physician
  • Charleston, SC
  • NPI 1558313726

  GA

  Medicare reassignment NPD
• Michael Haniotis, DC

  • Chiropractor
  • Columbus, GA
  • NPI 1275829657
  NPD Authorized official
• Shaun Bradley Hood

  • Physician Assistant
  • Fort Benning, GA
  • NPI 1891377230
  Medicare reassignment
• Ivan Jay Brodwyn, DC

  • Chiropractor
  • Columbus, GA
  • NPI 1538193503
  NPD (past)

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1629555172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 EDGEWOOD RD STE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319078238",
            "telephone_number": "762-204-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 EDGEWOOD RD STE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31907",
            "telephone_number": "762-204-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GEORGIA REGENERATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "HANIOTIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/PARTNER",
        "authorized_official_telephone_number": "762-204-4103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Georgia Medical Associates
• West Georgia Neurology and Neurodiagnostics, P.C.
• West Georgia Optical, LLC
• West Georgia Orthodontics
• West Georgia Pediatric Partners, LLC
• Brittany Reese West, DPT
• Makiya West
• Steven West
• Westech Hearing, LLC
• Lance Erik Westerlund, M.D.

• General Practice Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.

Verify at the official NPI Registry.