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REGENESIS LLC
NPI 1922451376
Specialist in Orange Beach, AL

Active since July 21, 2016
24847 COMMERCIAL AVE, ORANGE BEACH, AL 36561(251) 979-2067 Get Directions Write a Review

NPPES record last updated: July 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Regenesis Llc NPPES

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

REGENESIS LLC (NPI 1922451376) is a healthcare organization registered as a specialist in Orange Beach, Alabama and active in the NPI registry since July 2016. The organization lists Susan Vega, Office Contact, as its authorized official.

NPPES Registry Identity

NPI1922451376
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLIFESTYLE PERFORMANCE MEDICINE
Location Address24847 COMMERCIAL AVEOrange Beach, AL 36561-3845
Mailing Address6506 N Davis HwyPensacola, FL 32504-6957 · (850) 889-0711
Phone(251) 979-2067
Organization SubpartNo
Authorized OfficialSusan VegaOffice Contact · (850) 889-0711
Enumeration DateJuly 21, 2016
Last NPPES UpdateJuly 25, 2016
✔ NPI 1922451376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AL · MD34871
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
24847 COMMERCIAL AVE, Orange Beach, AL 36561
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Other Names 1

Other NameRegenesis Llc

Other Identifiers 4

OtherPA9108469FL · Medical License-florida
OtherME83357FL · Medical License-florida
OtherMD34871AL · Medical License-alabama
OtherPA1108AL · Medical License-alabama

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 Lifestyle Performance Medicine's NPI number?

The NPI number for Lifestyle Performance Medicine is 1922451376. It was assigned to this organization in the NPPES registry on July 21, 2016. The provider is also known as Regenesis LLC.

Where is Lifestyle Performance Medicine located?

Lifestyle Performance Medicine is located at 24847 Commercial Ave, Orange Beach, AL 36561. The listed phone number is (251) 979-2067.

What is Lifestyle Performance Medicine's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lifestyle Performance Medicine was last updated on July 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.