1. Home
  2. Directory
  3. Georgia
  4. Decatur
  5. Internal Medicine
  6. NPI Profile

PRIME REGEN DECATUR LLC
NPI 1811668593
Internal Medicine - Rheumatology in Decatur, GA

Active since September 23, 2021
2680 LAWRENCEVILLE HWY STE 101, DECATUR, GA 30033(470) 292-3820 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2021, Oct 11, 2021, Sep 23, 2021 (3 updates tracked since 2021).

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

NPI1811668593
Entity TypeOrganization
Primary Taxonomy207RR0500X
Legal Business NamePRIME REGEN DECATUR
Location Address2680 LAWRENCEVILLE HWY STE 101Decatur, GA 30033-2526
Mailing Address2680 Lawrenceville Hwy Ste 101Decatur, GA 30033-2526 · (470) 292-3820
Phone(470) 292-3820
Organization SubpartNo
Authorized OfficialRandall Lee HauptExecutive Vice President, Sgi · (470) 292-3820
Enumeration DateSeptember 23, 2021
Last NPPES UpdateOctober 29, 20243 updates tracked since enumeration
NPPES CertifiedOctober 29, 2024
✔ NPI 1811668593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
2680 LAWRENCEVILLE HWY STE 101, Decatur, GA 30033
Open in Google Maps ↗

Other Names 1

Other NamePrime Regen Decatur Llc

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 SINGLE SPECIALTY GROUP

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.

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 21 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.