Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ageless Center of Regenerative & Wellness Medicine

Organization Public Health & General Preventive Medicine Physician · NPI 1588030100

Ageless Center of Regenerative & Wellness Medicine is a Public Health & General Preventive Medicine Physician in Peachtree City, Georgia. Licensed in Georgia. Registered with an NPI since 2015.

Licensed in
GA
In the registry since
2015

Practice location Address checks out

1000 Commerce Dr Ste 300
Peachtree City, GA 30269-3530
Phone: (678) 364-8414
Fax: (678) 545-0146
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health & General Preventive Medicine Physician (primary) Taxonomy 2083P0901X · Licence GA045023 (GA)

Record details

NPI number1588030100
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linda Faulkner — Coo · (678) 364-8414
NPI enumeratedAugust 18, 2015
Last updated in NPPESAugust 18, 2015
Mailing address1000 Commerce Dr, Suite 300, Peachtree City, GA 30269-3530