NPIMap

Organization Active NPI

Renewalmd, PC

  • Plastic Surgery Physician
  • Savannah, GA
National Provider Identifier
1851338131
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
RENEWALMD, PC
Practice address
900 Mohawk St
Suite a
Savannah, GA 31419
Phone
(912) 920-2090
NPI assigned
Jun 2, 2006
Last updated
May 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Authorized official

Name
Barbara Keel, CPC, CPB, CPRC
Title
Patient Account Manager
Phone
(912) 920-5624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X NU Primary

Addresses

Primary practice location

900 Mohawk St
Suite a
Savannah, GA 31419

Mailing address

900 Mohawk St
Suite a
Savannah, GA 31419-1780
Phone (912) 920-2090

Other names 1

  • Coastal Empire Plastic Surgery, PC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031120000782 GA Part B Supplier - Clinic/Group Practice 5991609083 Receives reassigned benefits from 3 practitioners
Practice locations: Savannah, GA; Statesboro, GA

National Provider Directory

National Provider Directory

Locations

17 Sherington Dr
Ste B
Bluffton, SC 29910
Phone (912) 920-2090

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1851338131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MOHAWK ST",
            "address_2": "SUITE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191780",
            "telephone_number": "912-920-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MOHAWK ST",
            "address_2": "SUITE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31419",
            "telephone_number": "912-920-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWALMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "KEEL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PATIENT ACCOUNT MANAGER",
        "authorized_official_telephone_number": "912-920-5624",
        "authorized_official_credential": "CPC, CPB, CPRC"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Empire Plastic Surgery, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.