Renew Health Medical Center LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RENEW HEALTH MEDICAL CENTER LLC

Practice address

1550 Janmar Rd Ste B
Snellville, GA 30078-5779

Phone

(770) 822-3031

Fax

(770) 822-3032

NPI assigned

Jul 26, 2016

Last updated

Jan 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pharonda Lee

Title

Owner

Phone

(770) 822-3031

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raymond E. Easley, D.O.

  • Family Medicine Physician
  • Cumming, GA
  • NPI 1255323655
  Medicare reassignment
• Ayyaz Mahmood Qureshi, MD

  • Internal Medicine Physician
  • Snellville, GA
  • NPI 1730114026
  Medicare reassignment
• Tammy Rivers, FNP-C

  • Family Nurse Practitioner
  • Snellville, GA
  • NPI 1417379652
  Medicare reassignment
• Tyndal Michele Jones, M.D.

  • Obstetrics & Gynecology Physician
  • Lawrenceville, GA
  • NPI 1144280439
  NPD (past)

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1790238871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 JANMAR RD STE B",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785779",
            "telephone_number": "770-822-3031",
            "fax_number": "770-822-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 JANMAR RD STE B",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785779",
            "telephone_number": "770-822-3031",
            "fax_number": "770-822-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW HEALTH MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "PHARONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-822-3031"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rego Health Services LLC
• Relate and Recover LLC
• Reliancare Transportation L.L.C.
• Reliance Surgical Assisting Inc
• Renascence Vitality-N-Movement LLC
• Restorative Minds Psychiatric Collective
• Resurgens, LLC (Resurgens Orthopaedics)
• Noah Reyhl, PT, DPT
• Kaysieann Reynolds, FNP
• RG Wagner MD LLC

• Internal Medicine Physician in Snellville, GA
• Providers in Snellville, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.