NPI age
8 years
Enumerated 2017-11-16
● Active Type 2 · Organization
Regenesisdoc Llc
Regenesisdoc Llc is 1 of 318 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mabo
Owner
Last NPPES update
2017-11-16
Source: monthly bulk 2026-05
How this organization compares
Across 318 active clinic/center providers in Georgia.
NPI age
8 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 29% of peers with subspecialties
NPI lifetime · 2017 → 2026
2017-11Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
2892 Mountain Industrial Blvd
Tucker, GA 300843014
Mailing address
2892 Mountain Industrial Blvd
Tucker, GA 300843014
Authorized official
Eric Mabo, MD
Owner
📞 6788255757
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Vera Reaves, M.D. Family Medicine NPI 1013925999
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterDefinition to come...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.