Organization Active NPI

Renee's Medical Consulting

  • Physician Assistant
  • Carrollton, VA
National Provider Identifier
1801776539
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
RENEE'S MEDICAL CONSULTING
Practice address
13350 Country Walk Cir
Carrollton, VA 23314-3489
Phone
(757) 675-8752
NPI assigned
Sep 4, 2025
Last updated
May 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Renee Winston DialNPI 1407107386
Title
Manager/Owner
Phone
(757) 675-8752

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

13350 Country Walk Cir
Carrollton, VA 23314-3489

Mailing address

13350 Country Walk Cir
Carrollton, VA 23314-3489
Phone (757) 675-8752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251020001847 VA Part B Supplier - Clinic/Group Practice 9133617475 Receives reassigned benefits from 1 practitioner
Practice locations: Carrollton, VA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2330534Renee's Medical Consulting LLC13350 Country Walk Circle, Carrollton, VA 23314Certificate of waiverSep 16, 2027

National Provider Directory

National Provider Directory

Locations

8401 Mayland Dr
#4988
Richmond, VA 23294

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1801776539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13350 COUNTRY WALK CIR",
            "city": "CARROLLTON",
            "state": "VA",
            "postal_code": "233143489",
            "telephone_number": "757-675-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13350 COUNTRY WALK CIR",
            "city": "CARROLLTON",
            "state": "VA",
            "postal_code": "233143489",
            "telephone_number": "757-675-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE'S MEDICAL CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-04",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "DIAL",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "WINSTON",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "757-675-8752"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.