Organization Active NPI

Regen Medical Centers LLC

  • General Practice Physician
  • Marietta, GA
National Provider Identifier
1932704715
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
REGEN MEDICAL CENTERS LLC
Practice address
3036 Roswell Rd
Marietta, GA 30062-4971
Phone
(770) 578-0785
Fax
(404) 860-1461
NPI assigned
Dec 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Authorized official

Name
Lori Lynch, MD
Title
Owner
Phone
(770) 578-0785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

3036 Roswell Rd
Marietta, GA 30062-4971

Mailing address

3036 Roswell Rd
Marietta, GA 30062-4971
Phone (770) 578-0785

National Provider Directory

National Provider Directory

Locations

3036 Roswell Rd
Marietta, GA 30062
Phone (770) 578-0785

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1932704715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3036 ROSWELL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624971",
            "telephone_number": "770-578-0785",
            "fax_number": "404-860-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3036 ROSWELL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624971",
            "telephone_number": "770-578-0785",
            "fax_number": "404-860-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGEN MEDICAL CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-578-0785",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.