Organization Active NPI

Regenerating Me Essentials LLC

  • Health & Wellness Coach
  • Conyers, GA
National Provider Identifier
1750116752
Registry record updated Sep 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
REGENERATING ME ESSENTIALS LLC
Practice address
1303 Parker Rd SE Ste a
Conyers, GA 30094-5984
Phone
(470) 778-6869
NPI assigned
Sep 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2024

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

Authorized official

Name
Ms. April Dionne Williams, SILVER SNEAKER INSTRNPI 1902635519
Title
Health, Wellness Coach
Phone
(267) 777-0837

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X Primary

Addresses

Primary practice location

1303 Parker Rd SE Ste a
Conyers, GA 30094-5984

Mailing address

2911 Happy Hollow Dr SE
Conyers, GA 30094-3220
Phone (267) 777-0837

Other names 2

  • Regenerating Me Doing business as
  • Regenerating Me - Crystal and Salt Lounge Doing business as

National Provider Directory

National Provider Directory

Locations

1303 Parker Rd SE
Ste A
Conyers, GA 30094
Phone (470) 708-4678

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727568000000",
    "number": "1750116752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 HAPPY HOLLOW DR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300943220",
            "telephone_number": "267-777-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 PARKER RD SE STE A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945984",
            "telephone_number": "470-778-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATING ME ESSENTIALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-29",
        "certification_date": "2024-09-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "DIONNE",
        "authorized_official_title_or_position": "HEALTH, WELLNESS COACH",
        "authorized_official_telephone_number": "267-777-0837",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SILVER SNEAKER INSTR"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regenerating Me",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Regenerating Me - Crystal and Salt Lounge",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Regenerating Me - Crystal and Salt Lounge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2024; 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.