NPIMap

Organization Active NPI

Renewalmd Hinesville

  • Plastic Surgery Physician
  • Hinesville, GA
National Provider Identifier
1871929653
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
45759 Issued in GA
Legal business name
RENEWALMD HINESVILLE
Practice address
600 Oglethorpe Hwy
Suite B
Hinesville, GA 31313
Phone
(912) 920-2090
NPI assigned
Sep 24, 2013
Organization subpart
Yes
Parent organization
RENEWALMD, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 45759 GA Primary

Addresses

Primary practice location

600 Oglethorpe Hwy
Suite B
Hinesville, GA 31313

Mailing address

900 Mohawk St Ste a
Savannah, GA 31419-1772
Phone (912) 920-2090

Other names 2

  • Coastal Empire Plastic Surgery, PC Former legal business name
  • CEPS - Hinesville Other name

National Provider Directory

National Provider Directory
Tax ID family
Coastal Empire Plastic4 organizations share this tax ID, including this one
Part of
Coastal Empire Plastic

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1871929653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MOHAWK ST STE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191772",
            "telephone_number": "912-920-2090",
            "fax_number": "912-920-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 OGLETHORPE HWY",
            "address_2": "SUITE B",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "31313",
            "telephone_number": "912-920-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWALMD HINESVILLE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RENEWALMD, PC",
        "enumeration_date": "2013-09-24",
        "last_updated": "2018-06-16",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "45759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Empire Plastic Surgery, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "CEPS - Hinesville",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CEPS - Hinesville",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hinesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.