Active NPI
Renew Urgent Care PLLC
- Primary Care Clinic/Center
- Fayetteville, NC
National Provider Identifier
1427727833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- RENEW URGENT CARE PLLC
- Practice address
- 2214 Hope Mills Rd
Fayetteville, NC 28304-2830 - Phone
- (910) 230-5703
- NPI assigned
- Sep 9, 2021
- 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
- Gerald Bynum, PA
- Title
- Cmo/Owner
- Phone
- (910) 230-5703
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary | ||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
2214 Hope Mills Rd
Fayetteville, NC 28304-2830
Mailing address
2212 Hope Mills Rd
Fayetteville, NC 28304-4228
Phone (910) 230-5703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942268305 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Fayetteville, NC
- NPI 1073145843
-
- Mental Health Counselor
- Fayetteville, NC
- NPI 1649120692
-
- Mental Health Counselor
- Clarksville, TN
- NPI 1386392918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632096000000",
"number": "1427727833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2212 HOPE MILLS RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044228",
"telephone_number": "910-230-5703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2214 HOPE MILLS RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283042830",
"telephone_number": "910-230-5703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEW URGENT CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-09",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A",
"authorized_official_last_name": "BYNUM",
"authorized_official_first_name": "GERALD",
"authorized_official_title_or_position": "CMO/OWNER",
"authorized_official_telephone_number": "910-230-5703",
"authorized_official_credential": "PA"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1942268305",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.