Organization Active NPI

Renewal Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fayetteville, GA
National Provider Identifier
1154365989
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RENEWAL INC.
Practice address
377 Fayette PL
Fayetteville, GA 30214-1653
Phone
(770) 719-9900
Fax
(770) 716-7616
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Mrs. Belinda Kay Manning
Title
Ceo
Phone
(770) 719-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X GA Primary

Addresses

Primary practice location

377 Fayette PL
Fayetteville, GA 30214-1653

Mailing address

377 Fayette PL
Fayetteville, GA 30214-1653
Phone (770) 719-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930040709 GA DME Supplier - Prosthetic Personnel 4183745870 Practice locations: Fayetteville, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Renewal Atof Beautiful Additions377 Fayette PL, Fayetteville, GA 30214-1653(770) 719-9900 Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Renewal Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

818 Saint Sebastian Way
Ste 205
Augusta, GA 30901
Phone (706) 774-4141

377 Fayette Pl
Fayetteville, GA 30214
Phone (770) 719-9900

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1154365989",
    "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": "377 FAYETTE PL",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141653",
            "telephone_number": "770-719-9900",
            "fax_number": "770-716-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_middle_name": "KAY",
        "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": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.