REGENERATIVE WOUND SOLUTIONS PC
NPI 1730928235
Registered Nurse - Wound Care in Bronx, NY

Active since May 23, 2024
4770 WHITE PLAINS RD, BRONX, NY 10470(718) 534-0689 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Regenerative Wound Solutions Pc NPPES

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

REGENERATIVE WOUND SOLUTIONS PC (NPI 1730928235) is a healthcare organization registered as a wound care in Bronx, New York and active in the NPI registry since May 2024. The organization lists Carroll Odem, Owner, as its authorized official.

NPPES Registry Identity

NPI1730928235
Entity TypeOrganization
Primary Taxonomy163WW0000X
Legal Business NameREGENERATIVE WOUND SOLUTIONS PC
Location Address4770 WHITE PLAINS RDBronx, NY 10470-1136
Mailing Address4770 White Plains RdBronx, NY 10470-1136
Organization SubpartNo
Authorized OfficialCarroll OdemOwner · (718) 534-0689
Enumeration DateMay 23, 2024
NPPES CertifiedMay 23, 2024
✔ NPI 1730928235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Wound CareNursing Service Providers
Taxonomy Code163WW0000X
4770 WHITE PLAINS RD, Bronx, NY 10470

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 Wound Solutions Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Regenerative Wound Solutions PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner12
Internal Medicine1

Clinicians, nearest first (13)

Nurse Practitioner
NPI 1013475110
4770 WHITE PLAINS RD
Bronx, NY 10470
(718) 931-9700
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1912629593
3923 FORT HAMILTON PKWY
Brooklyn, NY 11218
(929) 491-7700
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1023826393
2460 FAIRMOUNT BLVD STE B
Cleveland Heights, OH 44106
(800) 640-3451
✔ PECOS406 mi
Nurse Practitioner
NPI 1841987294
1580 BOGGS RD STE 700
Duluth, GA 30096
(678) 751-5980
✔ PECOS739 mi
Nurse Practitioner
NPI 1487886230
3236 SPICY CEDAR LN
Lithonia, GA 30038
(404) 780-3096
✔ PECOS751 mi
Internal Medicine
NPI 1144224957
6380 BELLS FERRY RD STE 107
Acworth, GA 30102
(404) 989-7384
✔ PECOS752 mi
Nurse Practitioner
NPI 1316957715
2480 WINDY HILL RD SE STE 405
Marietta, GA 30067
(800) 640-3451
✔ PECOS✔ Accepts Medicare758 mi
Nurse Practitioner
NPI 1699266809
2480 WINDY HILL RD SE STE 405
Marietta, GA 30067
(800) 640-3451
✔ PECOS758 mi
Nurse Practitioner
NPI 1902451404
78 OPAL ST
Cartersville, GA 30120
(770) 382-6120
✔ PECOS✔ Accepts Medicare758 mi
Nurse Practitioner
NPI 1003790551
1400 HOGANSVILLE RD
Lagrange, GA 30241
(706) 803-7390
✔ PECOS✔ Accepts Medicare819 mi
Nurse Practitioner
NPI 1003746868
200 MEDICAL DR
Lagrange, GA 30240
(706) 803-7180
✔ PECOS✔ Accepts Medicare823 mi
Nurse Practitioner
NPI 1760241129
1201 22ND ST N
Birmingham, AL 35234
(205) 251-5271
✔ PECOS✔ Accepts Medicare876 mi
Nurse Practitioner
NPI 1346900065
8900 N KENDALL DR
Miami, FL 33176
(786) 596-1960
✔ PECOS✔ Accepts Medicare1,113 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 Wound Solutions PC's NPI number?

The NPI number for Regenerative Wound Solutions PC is 1730928235. It was assigned to this organization in the NPPES registry on May 23, 2024.

Where is Regenerative Wound Solutions PC located?

Regenerative Wound Solutions PC is located at 4770 White Plains Rd, Bronx, NY 10470. The listed phone number is (718) 534-0689.

What is Regenerative Wound Solutions PC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Wound Care, with taxonomy code 163WW0000X.

Is Regenerative Wound Solutions PC enrolled in Medicare?

Yes. Regenerative Wound Solutions PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Regenerative Wound Solutions PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to Regenerative Wound Solutions PC. 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. The largest specialties are Nurse Practitioner (12) and Internal Medicine (1). Of these, 1 practice at this address. 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 Wound Solutions PC was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.