Renew Health and Physical Medicine

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

RENEW HEALTH AND PHYSICAL MEDICINE

Doing business as

Alexander Spine Center

Practice address

11705 Jones Bridge Rd
Suite D101
Johns Creek, GA 30005-5078

Phone

(678) 297-0901

Fax

(678) 297-0903

NPI assigned

Dec 19, 2014

Last updated

Dec 31, 2014By 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

Dr. Daniel Alexander

Title

President

Phone

(678) 297-0901

Specialties & licenses 1

Addresses

Other names 1

• Alexander Spine Center Doing business as

Locations

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1265830426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11705 JONES BRIDGE RD",
            "address_2": "SUITE D101",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300055078",
            "telephone_number": "678-297-0901",
            "fax_number": "678-297-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11705 JONES BRIDGE RD",
            "address_2": "SUITE D101",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300055078",
            "telephone_number": "678-297-0901",
            "fax_number": "678-297-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW HEALTH AND PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-297-0901",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alexander Spine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kamilah Reeder, PT
• Diana Reeves
• Natalie Moore Reisman, M.D.
• James Ren, D.O
• Larry J Render
• Alyson Kimbrell Repko, DPT
• Natalie Cindy Reto, M.D.
• Ingrid Vivian Reyes, M.D.
• John C Reyes, M.D.
• Mark Andrew Reyka, CRNA

• Physical Medicine & Rehabilitation Physician in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.