JOINT REGENERATION & ANTI-AGING OF
NPI 1073116554
Clinic/Center - Multi-Specialty in Peachtree City, GA

Active since November 18, 2020
1601 GEORGIAN PARK STE TERRACE, PEACHTREE CITY, GA 30269(770) 683-4495 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 23, 2020, Nov 18, 2020 (2 updates tracked since 2020).

About Joint Regeneration & Anti-aging Of NPPES

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

JOINT REGENERATION & ANTI-AGING OF (NPI 1073116554) is a healthcare organization registered as a multi-specialty in Peachtree City, Georgia and active in the NPI registry since November 2020. The organization lists Kristyn Manzi, Owner, as its authorized official.

NPPES Registry Identity

NPI1073116554
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameJOINT REGENERATION & ANTI-AGING OF
Location Address1601 GEORGIAN PARK STE TERRACEPeachtree City, GA 30269-6968
Mailing Address1601 Georgian Park Ste TerracePeachtree City, GA 30269-6968
Organization SubpartNo
Authorized OfficialKristyn ManziOwner · (770) 683-4495
Enumeration DateNovember 18, 2020
Last NPPES UpdateNovember 23, 20202 updates tracked since enumeration
NPPES CertifiedNovember 23, 2020
✔ NPI 1073116554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
1601 GEORGIAN PARK STE TERRACE, Peachtree City, GA 30269

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joint Regeneration & Anti-aging Of is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Joint Regeneration & Anti-Aging Of, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1710581673
1601 GEORGIAN PARK
Peachtree City, GA 30269
(678) 834-5526
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1578263521
100 LINE CREEK DR
Peachtree City, GA 30269
(770) 847-8786
✔ PECOS✔ Accepts Medicare2.9 mi
Nurse Practitioner
NPI 1720587413
270 AUTUMN CRK
Senoia, GA 30276
(770) 647-5155
✔ PECOS8.8 mi
Nurse Practitioner
NPI 1538523964
1720 PHOENIX BLVD STE 600
Atlanta, GA 30349
(678) 257-2547
✔ PECOS15 mi
Nurse Practitioner
NPI 1942740360
260 CORPORATE CENTER DR STE E
Stockbridge, GA 30281
(678) 691-6500
✔ PECOS22 mi
Nurse Practitioner
NPI 1467745422
230 W COLLEGE ST STE C
Griffin, GA 30224
(678) 871-3735
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1184381733
526 BANKHEAD HWY STE 101
Carrollton, GA 30117
(770) 962-3642
✔ PECOS29 mi
Nurse Practitioner
NPI 1164824132
750 HAMMOND DR STE 150
Sandy Springs, GA 30328
(404) 531-0660
✔ PECOS36 mi
Family Practice
NPI 1861487225
2040 BOWMAN PARK SUITE A
Macon, GA 31210
(478) 755-8400
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Joint Regeneration & Anti-Aging Of's NPI number?

The NPI number for Joint Regeneration & Anti-Aging Of is 1073116554. It was assigned to this organization in the NPPES registry on November 18, 2020.

Where is Joint Regeneration & Anti-Aging Of located?

Joint Regeneration & Anti-Aging Of is located at 1601 Georgian Park Ste Terrace, Peachtree City, GA 30269. The listed phone number is (770) 683-4495.

What is Joint Regeneration & Anti-Aging Of's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Joint Regeneration & Anti-Aging Of enrolled in Medicare?

Yes. Joint Regeneration & Anti-Aging Of is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Joint Regeneration & Anti-Aging Of?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Joint Regeneration & Anti-Aging Of. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (8) and Family Practice (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Joint Regeneration & Anti-Aging Of was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.