Organization Active NPI

Renew Project LLC

  • Peer Specialist
  • Charlotte, NC
National Provider Identifier
1467387266
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
RENEW PROJECT LLC
Practice address
12921 Longstraw Rd
Charlotte, NC 28227-3687
Phone
(704) 506-8064
NPI assigned
Jun 15, 2026
Last updated
Jun 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Jaimyiah Davida Draper
Title
Owner
Phone
(704) 506-8064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

12921 Longstraw Rd
Charlotte, NC 28227-3687

Mailing address

12921 Longstraw Rd
Charlotte, NC 28227-3687
Phone (704) 506-8064

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1467387266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12921 LONGSTRAW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282273687",
            "telephone_number": "704-506-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12921 LONGSTRAW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282273687",
            "telephone_number": "704-506-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW PROJECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "DRAPER",
        "authorized_official_first_name": "JAIMYIAH",
        "authorized_official_middle_name": "DAVIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-506-8064"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.