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REGENERATIVE JOINT PT LLC
NPI 1053981860
Clinic/Center in Riverdale, GA

Active since June 25, 2021
483 UPPER RIVERDALE RD SW STE F, RIVERDALE, GA 30274(470) 895-0610(706) 666-1325 Get Directions Write a Review

NPPES record last updated: June 27, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 20, 2026, Jun 25, 2021 (2 updates tracked since 2021).

About Regenerative Joint Pt Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGENERATIVE JOINT PT LLC (NPI 1053981860) is a healthcare organization registered as a clinic/center in Riverdale, Georgia and active in the NPI registry since June 2021. The organization lists Jack Wright, Owner, as its authorized official.

NPPES Registry Identity

NPI1053981860
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameREGENERATIVE JOINT PT LLC
Location Address483 UPPER RIVERDALE RD SW STE FRiverdale, GA 30274-2579
Mailing Address483 Upper Riverdale Rd Sw Ste FRiverdale, GA 30274-2579 · (470) 895-0610 · Fax (706) 666-1325
Phone(470) 895-0610
Fax(706) 666-1325
Organization SubpartNo
Authorized OfficialJack WrightOwner · (470) 895-0610
Enumeration DateJune 25, 2021
Last NPPES UpdateJune 27, 20262 updates tracked since enumeration
NPPES CertifiedJune 27, 2026
✔ NPI 1053981860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
483 UPPER RIVERDALE RD SW STE F, Riverdale, GA 30274
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VICTOR EZINNA OKEH M.D.
Internal Medicine
483 UPPER RIVERDALE RD SW STE F
RIVERDALE, GA 30274
Clayton County (770) 742-3883
REGENERATIVE JOINT CLINICS LLC
Clinic/Center (Medical Specialty)
483 UPPER RIVERDALE RD SW STE F
RIVERDALE, GA 30274
Clayton County (470) 895-0610
ALICIA MALINDA DARBY-BISHOP
Nurse Practitioner (Family)
483 UPPER RIVERDALE RD SW STE F
RIVERDALE, GA 30274
Clayton County (470) 895-0610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Regenerative Joint Pt LLC's NPI number?

The NPI number for Regenerative Joint Pt LLC is 1053981860. It was assigned to this organization in the NPPES registry on June 25, 2021.

Where is Regenerative Joint Pt LLC located?

Regenerative Joint Pt LLC is located at 483 Upper Riverdale Rd SW Ste F, Riverdale, GA 30274. The listed phone number is (470) 895-0610.

What is Regenerative Joint Pt LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Regenerative Joint Pt LLC was last updated on June 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.