Individual provider Active NPI

Margaret McGee Renew, MD

  • Pediatric Adolescent Medicine Physician
  • Evans, GA
National Provider Identifier
1699759688
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
033181 Issued in GA
Practice address
4321 University Pkwy
Suite 104
Evans, GA 30809-3058
Phone
(706) 854-2600
Fax
(706) 854-2601
NPI assigned
Dec 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 033181 GA Primary

Addresses

Primary practice location

4321 University Pkwy
Suite 104
Evans, GA 30809-3058

Mailing address

4321 University Pkwy
Suite 104
Evans, GA 30809-3058
Phone (706) 854-2600

Other identifiers 1

IdentifierTypeStateIssuer
000468025EMedicaidGA

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
I20210520002615 GA Practitioner - Pediatric Medicine 3577972827 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
033181GAMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Improvement Project, Inc CurrentSince Jul 1, 2024 Accepting new patients
Neighborhood Improvement Project Inc CurrentSince Jul 1, 2024 Accepting new patients
The Pediatric Office, LLC Adolescent Medicine CurrentSince May 11, 2021 Accepting new patients
Neighborhood Improvement Project, Inc Past Accepting new patients

Locations

1265 Interstate Pkwy
Augusta, GA 30909
Phone (706) 204-1366

2467 Golden Camp Rd
Augusta, GA 30906
Phone (706) 922-0682

4321 University Pkwy
Ste 104
Evans, GA 30809
Phone (706) 854-2198

Organizations & group practices 5

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1699759688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 UNIVERSITY PKWY",
            "address_2": "SUITE 104",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093058",
            "telephone_number": "706-854-2600",
            "fax_number": "706-854-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 UNIVERSITY PKWY",
            "address_2": "SUITE 104",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093058",
            "telephone_number": "706-854-2600",
            "fax_number": "706-854-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENEW",
        "first_name": "MARGARET",
        "middle_name": "MCGEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "GA",
            "license": "033181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000468025E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.