Renaissance Plastic Surgery

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

RENAISSANCE PLASTIC SURGERY

Practice address

4030 Riverside Park Blvd
Macon, GA 31210-1365

Phone

(478) 474-2200

Fax

(478) 314-0740

NPI assigned

Aug 16, 2007

Last updated

Aug 16, 2007By 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

Mrs. Kathy Stuart

Title

Administrator

Phone

(478) 474-2200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 5

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.

• Christopher L McLendon, MD

  • Plastic and Reconstructive Surgery Physician
  • Macon, GA
  • NPI 1427056647
  Medicare reassignment Care Compare group NPD
• Taylor Wright McLendon

  • Plastic and Reconstructive Surgery Physician
  • Macon, GA
  • NPI 1144502436

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Roy Powell, MD

  • Plastic Surgery Physician
  • Macon, GA
  • NPI 1912905050
  Medicare reassignment Care Compare group NPD
• Paul John Syribeys, M.D.

  • Plastic Surgery Physician
  • Macon, GA
  • NPI 1497718258
  Medicare reassignment Care Compare group NPD
• Travis Guthrie Boyd, MD

  • Plastic and Reconstructive Surgery Physician
  • Macon, GA
  • NPI 1669819736
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1063604791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 RIVERSIDE PARK BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101365",
            "telephone_number": "478-474-2200",
            "fax_number": "478-314-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 RIVERSIDE PARK BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101365",
            "telephone_number": "478-474-2200",
            "fax_number": "478-314-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "478-474-2200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Murray Charles Relf, MD
• Robert Thomas Rella
• Daryl Franklin Remick, MD
• Remnant Homecare
• Renaissance Mah
• Renaissance Reconstruction LLC
• Renaissance Surgical Centre, LLC
• Renal Physicians of Georgia PC
• Caroline Renfroe
• Marcie Chaune Renfroe

• Specialist in Macon, GA
• Providers in Macon, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.