Renewal Solutions PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RENEWAL SOLUTIONS PLLC

Practice address

695 S Bennett St
Southern Pines, NC 28387-5919

Phone

(910) 687-6187

NPI assigned

Jan 31, 2019

Organization subpart

No

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

Authorized official

Name

Edward James Ross III, MBA

Title

Coo

Phone

(910) 687-6187

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Integrated Addiction Solutions PLLC Former legal business name

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1689138919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 S BENNETT ST",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875919",
            "telephone_number": "910-687-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 S BENNETT ST",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875919",
            "telephone_number": "910-687-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "910-687-6187",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCMB",
            "identifier": "224226",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Addiction Solutions PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Christopher Rain, PT
• Randall Robert Mercier PA
• Kirsten Brooke Rayner, PT
• America Berenice Reece, FNP-C
• Jacquelynn McLean Reid, LCSW, LCAS
• Revive Counseling, PLLC
• Stephanie Jaimes Reza
• Deborah Kaye Rich, LCSW LPC MAC
• Kenneth Lawrence Ring Jr., D.C.
• Melissa Dunston Risk, LCSW

• Family Medicine Physician in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.