Renewalasc, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

025270 Issued in GA

Legal business name

RENEWALASC, LLC

Practice address

900 Mohawk St
Suite a
Savannah, GA 31419

Phone

(912) 920-2090

Fax

(912) 920-4114

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Shanklin Plastic Surgery Center, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Shanklin Plastic Surgery CenterCCN 11C0001231

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 2

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

• Meghan K McGovern, MD

  • Specialist
  • Savannah, GA
  • NPI 1083612717
  NPD
• Joel L Shanklin, MD

  • Plastic and Reconstructive Surgery Physician
  • Lima, OH
  • NPI 1851398580
  NPD

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1144228883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MOHAWK ST",
            "address_2": "SUITE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191780",
            "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": "900 MOHAWK ST",
            "address_2": "SUITE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31419",
            "telephone_number": "912-920-2090",
            "fax_number": "912-920-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWALASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "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": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "025270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "582173090A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shanklin Plastic Surgery Center, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• La Charm Reliford-Hill
• Robert Bruce Remler, M.D.
• Remote Mind Behavioral Health LLC (Brilliant Minds Telepsychiatry)
• Jose M Rendon-Garcia, MD
• Renewal, Inc
• Renewalmd, PC
• Jeremy Brandon Renfroe, PHARM.D.
• Jennifer Renee Reno, MD PHD
• Morgan Kelsey Rensing, PHARMD
• Karla Kronquist Repper, PHD

• Ambulatory Surgical Clinic/Center in Savannah, GA
• Providers in Savannah, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.