REGENESIS (NPI# 1164976825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164976825 |
| Entity Type | Organization |
| Organization Name | REGENESIS |
| Practice Address |
300 Randolph Ave Se Huntsville AL 35801-4118 |
| Practice Telephone | 2567158193 |
| Mailing Telephone | 2567158193 |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |
| Authorized Official Name | DR. CHARLES IVY LEE (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 2567158193 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
14864 | AL | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | REGENESIS | 1011 Calle Sombra, San Clemente, CA 92673-4204 |
| Virginia Business Entities | Regenesis | 11700 Jefferson Davis Hwy, Chester, Virginia 23831-2124 |
| System for Award Management (SAM) Entities | REGENESIS BIOMEDICAL, INC. | 5301 N Pima Rd Ste 150, Scottsdale, AZ 85250-2625 |
| Oklahoma Business Registrations | REGENESIS DESIGN BUILD, LLC | 5960 West Parker Road, Suite 278-103, Plano, TX 75093-7767 |
| Oregon Corporations, Companies and Business Names | REGENESIS ECOLOGICAL DESIGN | 426 A St, Ste 102, Ashland, OR 97520 |
| Oregon Corporations, Companies and Business Names | REGENESIS ECOLOGICAL DESIGN LLC | 426 A St, Ste 102, Ashland, OR 97520 |
| Colorado Business Entities | Regenesis GJ Bldg Lease, LLC | C/o Hirons, Inc., 519 Grand Avenue, Grand Junction, CO 81501 |
| Alabama Business Registrations | Regenesis Health & Wellness, Inc. | 830 Avenue A, Opelika, AL 36801 |
| System for Award Management (SAM) Entities | REGENESIS HEALTH CARE | 460 Langdon Street, Spartanburg, SC 29302-1614 |
| Colorado Business Entities | Regenesis Home Buyers, LLC | 1320 Michelle Court, Unit S, Colorado Springs, CO 80916 |
| Street Address |
300 RANDOLPH AVE SE |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801-4118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184282840 | St Luke Integrative Medical Center Inc | Clinic/Center | 415e Church St Nw Ste 4, Huntsville, AL 35801-5577 | 2019-05-29 |
| 1619430733 | Wecare Tlc- Poa Huntsville | Clinic/Center | 7738 Madison Blvd Ste A, Huntsville, AL 35806-3660 | 2019-04-08 |
| 1972050946 | Futuristikidz Residential Facility | Clinic/Center | 683 Fm 980rd., Huntsville, TX 77320 | 2016-09-07 |
| 1972980951 | Southhuntsville Nephrology and Internal Medicine Associates | Clinic/Center | 333 Whitesport Dr Sw Ste 300, Huntsville, AL 35801-3455 | 2015-04-29 |
| 1568535649 | United Cerebral Palsy of Huntsville and Tennessee Valley, Inc. | Clinic/Center | 2075 Max Luther Dr Nw, Huntsville, AL 35810-3859 | 2006-11-16 |
| 1932286986 | Utmb Regional and Maternal Child Health Program | Clinic/Center | 1217 Avenue M, Huntsville, TX 77340-4607 | 2006-11-01 |
| 1003385279 | Inspirational Counseling LLC | Clinic/Center | 4100 Market St Ste 100, Huntsville, AL 35808-3007 | 2018-11-17 |
| 1063825941 | Healthworks Medical Group of Alabama P C | Clinic/Center | 1 Cottonvalley Dr Nw, Huntsville, AL 35810-6045 | 2014-06-09 |
| 1265765358 | Houston Physicians Medical Association Pllc | Clinic/Center | 112 Medical Park Ln, Huntsville, TX 77340-4971 | 2009-09-08 |
| 1952315681 | The Valley Foundation | Clinic/Center | 301 Governors Dr Sw, Huntsville, AL 35801-5123 | 2006-07-28 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35801 |
Please comment or provide details below to improve the information on REGENESIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.