Active NPI
Regenerative Sports Medicine Inc
- Ambulatory Surgical Clinic/Center
- Tucker, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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, 2025
- 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
- Dr. Saadiq F El-Amin III, MD, PHD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2259719 | Regenerative Sports Medicine | Certificate of waiver | May 9, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthopaedic Surgery Physician
- Lawrenceville, GA
- NPI 1972718328
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.