Individual provider Active NPI

Barry Mitchell Renz, MD

  • Trauma Surgery Physician
  • Austell, GA
National Provider Identifier
1598815698
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
30195 Issued in GA
Practice address
1700 Hospital South Dr Ste 202
Austell, GA 30106
Phone
(470) 644-0125
Fax
(470) 644-0120
NPI assigned
Jan 11, 2007
Last updated
Oct 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X 30195 GA
Surgery Physician 208600000X 30195 GA
Trauma Surgery Physician 2086S0127X 30195 GA Primary

Addresses

Primary practice location

1700 Hospital South Dr Ste 202
Austell, GA 30106

Mailing address

805 Sandy Plains Road
Medical Staff Services
Marietta, GA 30066-6340

Other practice location 1

55 Whitcher St NE
Suite 130
Marietta, GA 30060-1155
Phone (770) 426-1629

Other practice location 2

55 Whitcher St NE
Suite 130
Marietta, GA 30060-1155
Phone (770) 426-1629

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brenz26562@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080416000146 GA Practitioner - General Surgery 4789762774 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of North Carolina at Chapel Hill School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

55 Whitcher St
Suite 130
Marietta, GA 30060-1129
Phone (770) 917-6795

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30195GAMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett Pathology Assoc PC Current Accepting new patients
Wellstar Medical Group, LLC CurrentSince May 23, 2011 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Gwinnett Physician Group, LLC CurrentSince Jan 1, 2008 Accepting new patients
Gwinnett Medical Group, Inc Surgery Current Accepting new patients
Wellstar Medical Group, LLC CurrentSince May 23, 2011 Accepting new patients
Northside Hospital, Inc. CurrentSince Jul 23, 1998 Accepting new patients
Northside Hospital, Inc. CurrentSince Jul 23, 1998 Accepting new patients
Cobb Hospital, Inc Past Accepting new patients

Locations

1700 Hospital South Dr
Ste 202
Austell, GA 30106
Phone (770) 793-7440

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

55 Whitcher St NE
Ste 130
Marietta, GA 30060
Phone (770) 426-1629

805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616

Interoperability endpoints

  • Direct secure messaging: brenz26562@directwellstar.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1598815698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SANDY PLAINS ROAD",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300666340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 HOSPITAL SOUTH DR STE 202",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "30106",
            "telephone_number": "470-644-0125",
            "fax_number": "470-644-0120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Whitcher St NE",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300601155",
            "country_code": "US",
            "telephone_number": "770-426-1629",
            "fax_number": "770-427-8001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Whitcher St NE",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300601155",
            "country_code": "US",
            "telephone_number": "770-426-1629",
            "fax_number": "770-427-8001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENZ",
        "first_name": "BARRY",
        "middle_name": "MITCHELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "GA",
            "license": "30195",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "30195",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "GA",
            "license": "30195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brenz26562@directwellstar.org",
            "affiliation": "N",
            "address_1": "1700 Hospital South Dr Ste 202",
            "city": "Austell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301068116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

Verify at the official NPI Registry.