Renewlife Recovery LLC

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

Legal business name

RENEWLIFE RECOVERY LLC

Practice address

1105 Piney Forest Rd
Danville, VA 24540-1505

Phone

(434) 709-0232

NPI assigned

Dec 8, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Cameron G Johnson

Title

Owner

Phone

(434) 709-0232

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1790648582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 PINEY FOREST RD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245401505",
            "telephone_number": "434-709-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 PINEY FOREST RD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245401505",
            "telephone_number": "434-709-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWLIFE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-709-0232",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Ryan Reid
• Katie L Reiter, PT, DPT
• Renal Care Group of the South, Inc.
• Renal Care Group of the South, Inc.
• Renal Treatment Centers Mid Atlantic Inc
• Restorative Health and Integrated Medicine PLLC
• Revive Recovery Center
• Haley Rhoads, RD
• Diamond Alexi Richardson
• Jennifer Paige Richardson, LNP

• Addiction Medicine (Preventive Medicine) Physician in Danville, VA
• Providers in Danville, VA by specialty
• Addiction Medicine (Preventive Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.