1. Home
  2. Directory
  3. Georgia
  4. Tucker
  5. Clinic Center
  6. NPI Profile

REGENERATIVE SPORTS MEDICINE INC
NPI 1831699958
Clinic/Center - Ambulatory Surgical in Tucker, GA

Active since February 15, 2018CLIA 11D2259719 · Waiver
1462 MONTREAL RD STE 109, TUCKER, GA 30084(678) 257-7078(678) 669-2619 Get Directions Write a Review

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

Record update history: Mar 7, 2025, Dec 19, 2022, Mar 12, 2020 and 1 more (4 updates tracked since 2018).

About Regenerative Sports Medicine Inc NPPES

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

REGENERATIVE SPORTS MEDICINE INC (NPI 1831699958) is a healthcare organization registered as an ambulatory surgical in Tucker, Georgia and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through May 9, 2028 and lists Saadiq F El-amin, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1831699958
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameREGENERATIVE SPORTS MEDICINE INC
Location Address1462 MONTREAL RD STE 109Tucker, GA 30084-6904
Mailing Address2505 Newpoint Pkwy Ste 100Lawrenceville, GA 30043-6003 · (678) 257-7078 · Fax (336) 882-0236
Phone(678) 257-7078
Fax(678) 669-2619
Organization SubpartNo
Authorized OfficialSaadiq F El-aminOwner/manager · (217) 816-3852
Enumeration DateFebruary 15, 2018
Last NPPES UpdateMarch 7, 20254 updates tracked since enumeration
NPPES CertifiedMarch 7, 2025
✔ NPI 1831699958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
1462 MONTREAL RD STE 109, Tucker, GA 30084
Open in Google Maps ↗

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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2259719

Regenerative Sports Medicine · Tucker, GA
Active · expires May 9, 2028
CLIA Number11D2259719
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 10, 2026
Certificate Expiration DateMay 9, 2028
Laboratory DirectorSaadiq El-Amin
Laboratory Phone(678) 257-7078
Laboratory LocationRegenerative Sports Medicine1462 Montreal Road Suite 104, Tucker, GA 30084
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

ADVANCED ANESTHESIA CARE
Anesthesiology
1462 MONTREAL RD STE 109
TUCKER, GA 30084
Dekalb County (678) 459-4954

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 Sports Medicine Inc's NPI number?

The NPI number for Regenerative Sports Medicine Inc is 1831699958. It was assigned to this organization in the NPPES registry on February 15, 2018.

Where is Regenerative Sports Medicine Inc located?

Regenerative Sports Medicine Inc is located at 1462 Montreal Rd Ste 109, Tucker, GA 30084. The listed phone number is (678) 257-7078.

What is Regenerative Sports Medicine Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Regenerative Sports Medicine Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2259719) is associated with this NPI, valid through May 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Regenerative Sports Medicine Inc was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.