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FULL LIFE REGENERATION, PC
NPI 1609464395
Clinic/Center - Multi-Specialty in Florence, AL

Active since January 07, 2021
117 RENAISSANCE ST, FLORENCE, AL 35630(256) 765-0002(256) 765-0022 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2021, Jan 7, 2021 (2 updates tracked since 2021).

About Full Life Regeneration, Pc NPPES

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

FULL LIFE REGENERATION, PC (NPI 1609464395) is a healthcare organization registered as a multi-specialty in Florence, Alabama and active in the NPI registry since January 2021. The organization lists Tyler Melson, Owner, as its authorized official.

NPPES Registry Identity

NPI1609464395
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameFULL LIFE REGENERATION, PC
Location Address117 RENAISSANCE STFlorence, AL 35630-1207
Mailing Address117 Renaissance StFlorence, AL 35630-1207 · (256) 765-0002 · Fax (256) 765-0022
Phone(256) 765-0002
Fax(256) 765-0022
Organization SubpartNo
Authorized OfficialTyler MelsonOwner · (256) 765-0002
Enumeration DateJanuary 7, 2021
Last NPPES UpdateMay 26, 20212 updates tracked since enumeration
NPPES CertifiedMay 26, 2021
✔ NPI 1609464395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedChiropractorTaxonomy 111N00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPhysical TherapistTaxonomy 225100000X
117 RENAISSANCE ST, Florence, AL 35630
Open in Google Maps ↗

Other Identifiers 1

Other1769AL · License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. MATTHEW TYLER MELSON D.O.
Family Medicine
117 RENAISSANCE ST
FLORENCE, AL 35630
Lauderdale County (256) 765-0002

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 Full Life Regeneration, PC's NPI number?

The NPI number for Full Life Regeneration, PC is 1609464395. It was assigned to this organization in the NPPES registry on January 7, 2021.

Where is Full Life Regeneration, PC located?

Full Life Regeneration, PC is located at 117 Renaissance St, Florence, AL 35630. The listed phone number is (256) 765-0002.

What is Full Life Regeneration, PC'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 Full Life Regeneration, PC was last updated on May 26, 2021. 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.