NPI age
15 years
Enumerated 2011-04-15
● Active Type 2 · Organization
Regeneration Adult Life Center
Regeneration Adult Life Center is 1 of 205 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wynn
Owner
Last NPPES update
2011-04-15
Source: monthly bulk 2026-05
How this organization compares
Across 205 active clinic/center providers in Georgia.
NPI age
15 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-04Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
800 Brown Ave
Columbus, GA 319063647
Mailing address
6197 Trestlewood Dr, A
Columbus, GA 319092949
Authorized official
Stephanie Wynn, BSHA
Owner
📞 7063152218
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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