PRIME REGEN DECATUR LLC
NPI 1811668593
Internal Medicine - Rheumatology in Decatur, GA
About Prime Regen Decatur Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIME REGEN DECATUR LLC (NPI 1811668593) is a healthcare organization registered as a rheumatology in Decatur, Georgia and active in the NPI registry since September 2021. The organization lists Randall Lee Haupt, Executive Vice President, Sgi, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prime Regen Decatur Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Prime Regen Decatur LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (11)
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 Prime Regen Decatur's NPI number?
The NPI number for Prime Regen Decatur is 1811668593. It was assigned to this organization in the NPPES registry on September 23, 2021. The provider is also known as Prime Regen Decatur LLC.
Where is Prime Regen Decatur located?
Prime Regen Decatur is located at 2680 Lawrenceville Hwy Ste 101, Decatur, GA 30033. The listed phone number is (470) 292-3820.
What is Prime Regen Decatur's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Prime Regen Decatur enrolled in Medicare?
Yes. Prime Regen Decatur is registered in the Medicare PECOS enrollment system.
When is Prime Regen Decatur's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Prime Regen Decatur?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Prime Regen Decatur. 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 (9), Family Practice (1) and Physical Medicine and Rehabilitation (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Prime Regen Decatur was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Prime Regen Decatur Llc · NPI 1811668593
Rheumatology organization in Decatur, Georgia. Organization record, active in the CMS NPPES registry since September 23, 2021.
## Identity
- **NPI:** 1811668593 (Entity type: Organization)
- **Enumerated:** September 23, 2021
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **Legal business name:** Prime Regen Decatur
- **Organization subpart:** No
- **Authorized official:** Randall Haupt, EXECUTIVE VICE PRESIDENT, SGI
## Practice location
- **Address:** 2680 LAWRENCEVILLE HWY STE 101, Decatur, GA 30033-2526
- **Phone:** (470) 292-3820
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Georgia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 11 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Family Practice (1), Physical Medicine and Rehabilitation (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1811668593) · Data from the CMS NPPES public registry.