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

West Georgia Regenerative Medicine LLC

Organization General Practice Physician · NPI 1629555172

West Georgia Regenerative Medicine LLC is a General Practice Physician in Columbus, Georgia. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3624 Edgewood Rd Ste B
Columbus, GA 31907
Phone: (762) 204-4103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Physical Therapist Taxonomy 225100000X

Record details

NPI number1629555172
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Haniotis — Authorized Official/Partner · (762) 204-4103
NPI enumeratedJuly 26, 2018
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025
Mailing address3624 Edgewood Rd Ste B, Columbus, GA 31907-8238

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