NPIMap

Organization Active NPI

Renewalmd Bluffton

  • Plastic Surgery Physician
  • Bluffton, SC
National Provider Identifier
1093097396
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
RENEWALMD BLUFFTON
Practice address
17 Sherington Dr
Suite B
Bluffton, SC 29910
Phone
(912) 920-2090
NPI assigned
Sep 13, 2011
Organization subpart
Yes
Parent organization
RENEWALMD, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Authorized official

Name
Barbara Keel, CPC, CPB, CPRC
Title
Patient Account Manager
Phone
(912) 920-5624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

17 Sherington Dr
Suite B
Bluffton, SC 29910

Mailing address

900 Mohawk St Ste a
Savannah, GA 31419-1772
Phone (912) 920-2090

Other names 1

  • Coastal Empire Plastic Surgery, PC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Coastal Empire Plastic4 organizations share this tax ID, including this one
Part of
Coastal Empire Plastic

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

900 Mohawk St
Ste A
Savannah, GA 31419
Phone (912) 920-2090

17 Sherington Dr
Ste B
Bluffton, SC 29910
Phone (912) 920-2090

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1093097396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MOHAWK ST STE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191772",
            "telephone_number": "912-920-2090",
            "fax_number": "912-920-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SHERINGTON DR",
            "address_2": "SUITE B",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "29910",
            "telephone_number": "912-920-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWALMD BLUFFTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RENEWALMD, PC",
        "enumeration_date": "2011-09-13",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "KEEL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PATIENT ACCOUNT MANAGER",
        "authorized_official_telephone_number": "912-920-5624",
        "authorized_official_credential": "CPC, CPB, CPRC"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Empire Plastic Surgery, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.