Active NPI
Regenerative Medical and Wellness Centers, LLC
- Family Medicine Physician
- Madison, MS
National Provider Identifier
1972349686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- REGENERATIVE MEDICAL AND WELLNESS CENTERS, LLC
- Practice address
- 794 Highway 51 Ste D
Madison, MS 39110-9662 - Phone
- (601) 572-5564
- NPI assigned
- Jul 2, 2024
- 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
- Joyce Ann Burton
- Title
- Owner
- Phone
- (601) 898-6039
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
794 Highway 51 Ste D
Madison, MS 39110-9662
Mailing address
794 Highway 51 Ste D
Madison, MS 39110-9662
Phone (601) 572-5564
Other practice location 1
2556 Marcia Ct
Biloxi, MS 39531-2352
Phone (228) 248-0561
Other names 1
- REGENERATIVE MEDICAL AND WELLNESS CENTERS, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
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 |
|---|---|---|---|
| 25D2311142 | Regenerative Medical & Wellness Centers | Certificate of waiver | Sep 16, 2026 |
National Provider Directory
National Provider DirectoryLocations
794 Highway 51
Madison, MS 39110
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Richland, MS
- NPI 1619275237
-
- Family Medicine Physician
- Jackson, MS
- NPI 1225087588
-
- Adult Health Nurse Practitioner
- Brandon, MS
- NPI 1699498774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750636800000",
"number": "1972349686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "794 HIGHWAY 51 STE D",
"city": "MADISON",
"state": "MS",
"postal_code": "391109662",
"telephone_number": "601-572-5564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "794 HIGHWAY 51 STE D",
"city": "MADISON",
"state": "MS",
"postal_code": "391109662",
"telephone_number": "601-572-5564"
}
],
"practiceLocations": [
{
"address_1": "2556 Marcia Ct",
"address_purpose": "LOCATION",
"city": "Biloxi",
"state": "MS",
"postal_code": "395312352",
"country_code": "US",
"telephone_number": "228-248-0561",
"fax_number": "228-207-4363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "REGENERATIVE MEDICAL AND WELLNESS CENTERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-02",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A",
"authorized_official_last_name": "BURTON",
"authorized_official_first_name": "JOYCE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-898-6039"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "REGENERATIVE MEDICAL AND WELLNESS CENTERS, LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "REGENERATIVE MEDICAL AND WELLNESS CENTERS, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.