1. Home
  2. Directory
  3. Georgia
  4. Tucker
  5. Clinic Center
  6. NPI Profile

REGENESISDOC LLC
NPI 1275047938
Clinic/Center - Multi-Specialty in Tucker, GA

Active since November 16, 2017
2892 MOUNTAIN INDUSTRIAL BLVD, TUCKER, GA 30084(678) 825-5757 Get Directions Write a Review

NPPES record last updated: November 16, 2017. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Regenesisdoc Llc NPPES

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

REGENESISDOC LLC (NPI 1275047938) is a healthcare organization registered as a multi-specialty in Tucker, Georgia and active in the NPI registry since November 2017. The organization lists Eric Mabo, Owner, as its authorized official.

NPPES Registry Identity

NPI1275047938
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameREGENESISDOC LLC
Location Address2892 MOUNTAIN INDUSTRIAL BLVDTucker, GA 30084-3014
Mailing Address2892 Mountain Industrial BlvdTucker, GA 30084-3014 · (678) 825-5757
Phone(678) 825-5757
Organization SubpartNo
Authorized OfficialEric MaboOwner · (678) 825-5757
Enumeration DateNovember 16, 2017
✔ NPI 1275047938 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 · Urgent CareTaxonomy 261QU0200X
2892 MOUNTAIN INDUSTRIAL BLVD, Tucker, GA 30084
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

MS. VERA ANNETTE REAVES M.D.
Family Medicine
2892 MOUNTAIN INDUSTRIAL BLVD
TUCKER, GA 30084
Dekalb County (678) 534-0452
ELITE MEDICAL PHYSICIANS PC
Specialist
2892 MOUNTAIN INDUSTRIAL BLVD
TUCKER, GA 30084
Dekalb County (678) 534-0452

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 Regenesisdoc LLC's NPI number?

The NPI number for Regenesisdoc LLC is 1275047938. It was assigned to this organization in the NPPES registry on November 16, 2017.

Where is Regenesisdoc LLC located?

Regenesisdoc LLC is located at 2892 Mountain Industrial Blvd, Tucker, GA 30084. The listed phone number is (678) 825-5757.

What is Regenesisdoc LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Regenesisdoc LLC was last updated on November 16, 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.