Active NPI
Barry Mitchell Renz, MD
- Trauma Surgery Physician
- Austell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 30195
- 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, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 30195 | GA | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gwinnett Pathology Assoc PC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Gwinnett Physician Group, LLC | Current | Accepting new patients | |
| Gwinnett Medical Group, Inc | Surgery | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Northside Hospital, Inc. | Current | Accepting new patients | |
| Northside Hospital, Inc. | Current | 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
- 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.
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Internal Medicine Physician
- Lawrenceville, GA
- NPI 1578574661
-
dba Northside Hospital Gwinnett
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
-
- Anatomic Pathology & Clinical Pathology Physician
- Lawrenceville, GA
- NPI 1104887330
-
dba Northside Hospital Duluth
- General Acute Care Hospital
- Duluth, GA
- NPI 1790715381
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
dba WellStar Cobb Medical Group
- Internal Medicine Physician
- Austell, GA
- NPI 1790081362
-
dba Wellstar Cobb Hospital
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wellstar Cobb Hospital
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.