Active NPI
Jane Ren, M.D.
- Family Medicine Physician
- Charlotte, NC
National Provider Identifier
1679506166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Practice address
- 101 E WT Harris Blvd
Building 3000, Suite 3301
Charlotte, NC 28262-3485 - Phone
- (704) 548-6970
- Fax
- (704) 548-6279
- NPI assigned
- Jul 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NC | Primary |
Addresses
Primary practice location
101 E WT Harris Blvd
Building 3000, Suite 3301
Charlotte, NC 28262-3485
Mailing address
101 E WT Harris Blvd
Building 3000, Suite 3301
Charlotte, NC 28262-3485
Phone (704) 548-6970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5905004 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200401115 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients |
Locations
2405 York Rd
Ste 201
Timonium, MD 21093
Phone (240) 332-4048
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679506166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E WT HARRIS BLVD",
"address_2": "BUILDING 3000, SUITE 3301",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282623485",
"telephone_number": "704-548-6970",
"fax_number": "704-548-6279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E WT HARRIS BLVD",
"address_2": "BUILDING 3000, SUITE 3301",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282623485",
"telephone_number": "704-548-6970",
"fax_number": "704-548-6279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REN",
"first_name": "JANE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5905004",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Remembering Me Therapy Solutions, LLC
- Diana Jo Remenar, PA-C
- Amber Emery Remington, PMHNP-BC
- Judith H Remmie-Forney
- Ilhem Remmouche, MD
- Qing Ren, OMD, L.AC, CH
- Rena Home Care LLC
- Renaissance Healthcare Group Raleigh, LLC
- Renaissance Healthcare Group Raleigh, LLC
- Renaissance Performance Medicine PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.