WEST GEORGIA REGENERATIVE MEDICINE LLC
NPI 1629555172
General Practice in Columbus, GA
About West Georgia Regenerative Medicine Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WEST GEORGIA REGENERATIVE MEDICINE LLC (NPI 1629555172) is a healthcare organization registered as a general practice in Columbus, Georgia and active in the NPI registry since July 2018. The organization lists Michael Haniotis, Authorized Official/partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
West Georgia Regenerative Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to West Georgia Regenerative Medicine LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 West Georgia Regenerative Medicine LLC's NPI number?
The NPI number for West Georgia Regenerative Medicine LLC is 1629555172. It was assigned to this organization in the NPPES registry on July 26, 2018.
Where is West Georgia Regenerative Medicine LLC located?
West Georgia Regenerative Medicine LLC is located at 3624 Edgewood Rd Ste B, Columbus, GA 31907. The listed phone number is (762) 204-4103.
What is West Georgia Regenerative Medicine LLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is West Georgia Regenerative Medicine LLC enrolled in Medicare?
Yes. West Georgia Regenerative Medicine LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through West Georgia Regenerative Medicine LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to West Georgia Regenerative Medicine LLC, in Anesthesiology, Nurse Practitioner and Physical Therapist in Private Practice. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does West Georgia Regenerative Medicine LLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list West Georgia Regenerative Medicine LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for West Georgia Regenerative Medicine LLC was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# West Georgia Regenerative Medicine Llc · NPI 1629555172
General Practice organization in Columbus, Georgia. Organization record, active in the CMS NPPES registry since July 26, 2018.
## Identity
- **NPI:** 1629555172 (Entity type: Organization)
- **Enumerated:** July 26, 2018
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Michael Haniotis, AUTHORIZED OFFICIAL/PARTNER
## Practice location
- **Address:** 3624 EDGEWOOD RD STE B, Columbus, GA 31907
- **Phone:** (762) 204-4103
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (2), Anesthesiology (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629555172) · Data from the CMS NPPES public registry.