Rise and Restore Healthcare, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

RISE AND RESTORE HEALTHCARE, LLC

Practice address

2314 Willington Shoals PL SE
Smyrna, GA 30080-8513

Phone

(770) 656-1679

NPI assigned

Nov 30, 2021

Last updated

Nov 30, 2021By 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

Ms. Megan Fenceroy, NPNPI 1992137475

Title

Owner

Phone

(770) 656-1679

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Megan Louise Fenceroy, NP-C

  • Adult Health Nurse Practitioner
  • Newnan, GA
  • NPI 1992137475
  NPD Authorized official

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1417615220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 WILLINGTON SHOALS PL SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300808513",
            "telephone_number": "770-656-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 WILLINGTON SHOALS PL SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300808513",
            "telephone_number": "770-656-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE AND RESTORE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "FENCEROY",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-656-1679",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Nursing Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.