Regenesisdoc LLC
NPI 1275047938 · Multi-Specialty Clinic/Center · Tucker, GA
Regenesisdoc LLC is a Multi-Specialty Clinic/Center organization in Tucker, GA (NPI 1275047938).
Provider details
- NPI number
- 1275047938
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Eric Mabo, Owner(678) 825-5757
Specialties & taxonomies
Ambulatory Health Care Facilities
- Urgent Care Clinic/Center261QU0200X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-11-16
- Last updated
- 2017-11-16
Frequently asked questions
- What is Regenesisdoc LLC's NPI number?
- Regenesisdoc LLC's National Provider Identifier (NPI) is 1275047938, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Regenesisdoc LLC?
- Regenesisdoc LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Regenesisdoc LLC located?
- Regenesisdoc LLC's practice location on file with NPPES is 2892 Mountain Industrial Blvd, Tucker, GA 30084-3014.
- What is Regenesisdoc LLC's phone number?
- The practice phone number listed in the NPPES registry for Regenesisdoc LLC is (678) 825-5757.
- Who is the authorized official for Regenesisdoc LLC?
- The authorized official listed on Regenesisdoc LLC's NPPES record is Eric Mabo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Regenesisdoc LLC's NPI active?
- Yes — Regenesisdoc LLC's NPI (1275047938) is active in the NPPES registry as of the last update on 2017-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.