Organization Active NPI

Regenerative Sports Medicine Inc

  • Ambulatory Surgical Clinic/Center
  • Tucker, GA
National Provider Identifier
1831699958
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
REGENERATIVE SPORTS MEDICINE INC
Practice address
1462 Montreal Rd Ste 109
Tucker, GA 30084-6904
Phone
(678) 257-7078
Fax
(678) 669-2619
NPI assigned
Feb 15, 2018
Last updated
Mar 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Dr. Saadiq F El-Amin III, MD, PHDNPI 1972718328
Title
Owner/Manager
Phone
(217) 816-3852

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

1462 Montreal Rd Ste 109
Tucker, GA 30084-6904

Mailing address

2505 Newpoint Pkwy Ste 100
Lawrenceville, GA 30043-6003
Phone (678) 257-7078

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2259719Regenerative Sports Medicine1462 Montreal Road Suite 104, Tucker, GA 30084Certificate of waiverMay 9, 2028

National Provider Directory

National Provider Directory

Locations

2505 Newpoint Pkwy
Ste 100
Lawrenceville, GA 30043
Phone (678) 257-7078

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1831699958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 NEWPOINT PKWY STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300436003",
            "telephone_number": "678-257-7078",
            "fax_number": "336-882-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 MONTREAL RD STE 109",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846904",
            "telephone_number": "678-257-7078",
            "fax_number": "678-669-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE SPORTS MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-15",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "EL-AMIN",
        "authorized_official_first_name": "SAADIQ",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "217-816-3852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.