Active NPI
Renewal, Inc
- Durable Medical Equipment & Medical Supplies
- Columbus, GA
National Provider Identifier
1114960952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- RENEWAL, INC
- Practice address
- 1831 5TH Ave
Suite 200
Columbus, GA 31904-8915 - Phone
- (706) 320-8766
- Fax
- (706) 320-8786
- NPI assigned
- Jun 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carla Anne Gober
- Title
- Ceo
- Phone
- (770) 719-9900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1831 5TH Ave
Suite 200
Columbus, GA 31904-8915
Mailing address
377 Fayette PL
Fayetteville, GA 30214-1653
Phone (770) 719-9900
National Provider Directory
National Provider Directory- Tax ID family
- Renewal Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Fayetteville, GA
- NPI 1154365989
-
- Durable Medical Equipment & Medical Supplies
- Savannah, GA
- NPI 1154404242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114960952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "377 FAYETTE PL",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302141653",
"telephone_number": "770-719-9900",
"fax_number": "770-716-7616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1831 5TH AVE",
"address_2": "SUITE 200",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319048915",
"telephone_number": "706-320-8766",
"fax_number": "706-320-8786"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEWAL, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GOBER",
"authorized_official_first_name": "CARLA",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "770-719-9900",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.