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REGENERATIVE MEDICAL GROUP FLORIDA
NPI 1144736471
Family Medicine in Port St Lucie, FL

Active since December 22, 2017
1400 SE GOLDTREE DR STE 105, PORT ST LUCIE, FL 34952(772) 207-7534(772) 777-2837 Get Directions Write a Review

NPPES record last updated: December 22, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Regenerative Medical Group Florida NPPES

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

REGENERATIVE MEDICAL GROUP FLORIDA (NPI 1144736471) is a healthcare organization registered as a family medicine in Port St Lucie, Florida and active in the NPI registry since December 2017. The organization lists Shane Donald Whiteley, Owner, as its authorized official.

NPPES Registry Identity

NPI1144736471
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameREGENERATIVE MEDICAL GROUP FLORIDA
Location Address1400 SE GOLDTREE DR STE 105Port St Lucie, FL 34952-7582
Mailing Address1400 Se Goldtree Dr Ste 105Port St Lucie, FL 34952-7582 · (772) 207-7534 · Fax (772) 777-2837
Phone(772) 207-7534
Fax(772) 777-2837
Organization SubpartNo
Authorized OfficialShane Donald WhiteleyOwner · (772) 207-7534
Enumeration DateDecember 22, 2017
✔ NPI 1144736471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1400 SE GOLDTREE DR STE 105, Port St Lucie, FL 34952
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Regenerative Medical Group Florida is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Regenerative Medical Group Florida, which bills Medicare for the services this clinician delivers.

Clinician (1)

Steven Rahman, MD
Pediatric Medicine
NPI 1710083811
10131 FOREST HILL BLVD STE 140
Wellington, FL 33414
(561) 798-5437
✔ PECOS✔ Accepts Medicare44 mi

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 Regenerative Medical Group Florida's NPI number?

The NPI number for Regenerative Medical Group Florida is 1144736471. It was assigned to this organization in the NPPES registry on December 22, 2017.

Where is Regenerative Medical Group Florida located?

Regenerative Medical Group Florida is located at 1400 SE Goldtree Dr Ste 105, Port St Lucie, FL 34952. The listed phone number is (772) 207-7534.

What is Regenerative Medical Group Florida's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Regenerative Medical Group Florida enrolled in Medicare?

Yes. Regenerative Medical Group Florida is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Regenerative Medical Group Florida?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Regenerative Medical Group Florida. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Regenerative Medical Group Florida was last updated on December 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.