Renewal Wound Care Georgia LLC

PAC ID

8022538891The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part B Supplier - Clinic/Group Practice

Enrolled in

GA, SC

Enrollments

2

Group size

3 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

2In 2 places

Enrollment records 2

These NPI records belong to the same enrolled organization. Each has its own page.

• Renewal Wound Care Georgia LLC

  • Surgery Physician
  • Camden, SC
  • NPI 1265373997
• Renewal Wound Care Georgia LLC

  • Surgery Physician
  • Canton, GA
  • NPI 1558177618

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (3).

• Alycia Strickland Abdulla, FNP-BC

  • Family Nurse Practitioner
  • Camden, SC
  • NPI 1003560913
• Neha Amin, D.O.

  • Surgery Physician
  • Canton, GA
  • NPI 1699107698
• Beretta Craft-Coffman, P.A.-C

  • Surgical Physician Assistant
  • Canton, GA
  • NPI 1285601880
• Kimberly Nailah Smith, NP

  • Nurse Practitioner
  • Austell, GA
  • NPI 1265987184

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.