{"npi":"1073116554","type":"NPI-2","status":"active","name":{"display":"Joint Regeneration & Anti-Aging Of","other":[],"organization_name":"JOINT REGENERATION & ANTI-AGING OF","authorised_official":"Kristyn Manzi"},"specialty":{"primary_taxonomy":"261QM1300X","primary_taxonomy_description":"Multi-Specialty Clinic/Center","slug":"multi-specialty-clinic-center","schema_org_specialty":null,"all":[{"code":"261QM2500X","description":"Medical Specialty Clinic/Center","primary":false,"state":null,"license":null},{"code":"261QM1300X","description":"Multi-Specialty Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1601 GEORGIAN PARK STE TERRACE","city":"PEACHTREE CITY","state":"GA","postal_code":"302696968","country_code":"US","phone":"7706834495"},{"purpose":"MAILING","street_1":"1601 GEORGIAN PARK STE TERRACE","city":"PEACHTREE CITY","state":"GA","postal_code":"302696968","country_code":"US"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20201203002328","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"GA","pac_id":"8527479021"},{"enrlmt_id":"O20210402000635","type_code":"30-70","type_desc":"DME SUPPLIER - MULTI-SPECIALTY - PHYSICIAN","state":"GA","pac_id":"8527479021"}]},"enumeration_date":"2020-11-18","last_updated":"2020-11-23","_meta":{"source":"NPPES","snapshot_date":"2020-11-23","doc_url":"https://findmynpi.com/api"}}