WEST GEORGIA REGENERATIVE MEDICINE LLC
NPI 1629555172
General Practice in Columbus, GA

Active since July 26, 2018
3624 EDGEWOOD RD STE B, COLUMBUS, GA 31907(762) 204-4103 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2025, Jul 31, 2018, Jul 27, 2018 (3 updates tracked since 2018).

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

NPI1629555172
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameWEST GEORGIA REGENERATIVE MEDICINE LLC
Location Address3624 EDGEWOOD RD STE BColumbus, GA 31907
Mailing Address3624 Edgewood Rd Ste BColumbus, GA 31907-8238 · (762) 204-4103
Organization SubpartNo
Authorized OfficialMichael HaniotisAuthorized Official/partner · (762) 204-4103
Enumeration DateJuly 26, 2018
Last NPPES UpdateAugust 7, 20253 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
NPI 1629555172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPhysical TherapistTaxonomy 225100000X
3624 EDGEWOOD RD STE B, Columbus, GA 31907

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
3624 EDGEWOOD RD STE B
COLUMBUS, GA 31907

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.

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 11 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.