Renewed Axis Telehealth PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

RENEWED AXIS TELEHEALTH PLLC

Practice address

2101 Sardis Rd N Ste 120B
Charlotte, NC 28227-7711

Phone

(704) 840-2927

NPI assigned

Jun 30, 2025

Last updated

Feb 2, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nina Fombuh, FNP-BCNPI 1932595147

Title

Owner/Provider

Phone

(047) 741-2909

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nina Tegha Fombuh, FNP-BC, PMHNP-BC

  • Family Nurse Practitioner
  • Raleigh, NC
  • NPI 1932595147
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1063301612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 SARDIS RD N STE 120B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282277711",
            "telephone_number": "508-840-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 SARDIS RD N STE 120B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282277711",
            "telephone_number": "704-840-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED AXIS TELEHEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "FOMBUH",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "047-741-2909",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renew 360 Support Services Inc
• Renew Health South
• Renew Project LLC
• Renew Support Services PLLC
• Renewed & Restored LLC
• Renewed Beginnings Home Inc
• Renewed Mindset Therapeutic Services, PLLC
• Renewed Peace PLLC
• Renewed Purpose Care LLC
• Renewed Purpose Care LLC

• Primary Care Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.