Conyers Regenerative and Joint Institute LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

CONYERS REGENERATIVE AND JOINT INSTITUTE LLC

Practice address

1741 Hog Mountain Rd BLDG 200
Watkinsville, GA 30677-1947

Phone

(706) 614-0828

NPI assigned

Jan 16, 2021

Organization subpart

No

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

(706) 614-0828

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1610755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782518400000",
    "number": "1730778432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 HOG MOUNTAIN RD BLDG 200",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306771947",
            "telephone_number": "706-614-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 HOG MOUNTAIN RD BLDG 200",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306771947",
            "telephone_number": "706-614-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONYERS REGENERATIVE AND JOINT INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-16",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "706-614-0828"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Nicholas Colasurdo, DPM
• Mary Elizabeth Cole, B.A, LMSW
• Kamilla Coleman
• Danymarie Baldon Consolacion
• Deana Contaoi, MS, LAT, ATC
• J. Kenneth Cook, D.C.
• Jessica Hope Cook, PA-C
• Alexus Paige Cooper
• Cynthia Cooper, RBT
• Melissa Shunta Cooper, CMA

• Medical Specialty Clinic/Center in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2026; 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.