# VITALREGEN MEDICAL, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144171075
- **Authorized official:** CASEY GOODWIN FNP-C (OWNER)
- **Authorized official phone:** (615) 633-5506

## Contact information

- **Practice address:** 110 SANDERS FERRY RD STE 12, HENDERSONVILLE, TN 37075-3773
- **Practice address phone:** (615) 633-5506
- **Mailing address:** 110 SANDERS FERRY RD STE 12, HENDERSONVILLE, TN 37075-3773
- **Mailing address phone:** (615) 633-5506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/06/2026
- **Last updated:** 02/06/2026