Renue Plastic Surgery, LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

RENUE PLASTIC SURGERY, LLC

Practice address

2500 Starling St
Suite 603
Brunswick, GA 31520-4265

Phone

(912) 280-9977

Fax

(912) 280-9995

NPI assigned

Jul 30, 2006

Last updated

Oct 28, 2020By 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

Dr. Charles W. Mitchell, M.D.NPI 1912913609

Title

President

Phone

(912) 280-9977

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Renue Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Brunswick, GA
  • NPI 1376797332

  Member Of

  NPD member
• Renue Surgery Center of Waycross, LLC

  • Ambulatory Surgical Clinic/Center
  • Waycross, GA
  • NPI 1821397654

  Member Of

  NPD member

Locations

Subparts reporting this organization as parent 1

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

• Regal Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Brunswick, GA
  • NPI 1831337781
  NPPES parent name

Practitioners 3

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.

• Charles W. Mitchell, M.D.

  • Plastic Surgery Physician
  • Brunswick, GA
  • NPI 1912913609

  Plastic and Reconstructive Surgery

  Medicare reassignment Care Compare group NPD Authorized official
• Steven T. Barr, M.D.

  • Plastic Surgery Physician
  • Brunswick, GA
  • NPI 1063428704

  Plastic and Reconstructive Surgery

  Medicare reassignment Care Compare group NPD
• Nathan Bradley Easterlin, M.D.

  • Plastic Surgery Physician
  • Brunswick, GA
  • NPI 1144373051
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1881609543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 STARLING ST",
            "address_2": "SUITE 603",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204265",
            "telephone_number": "912-280-9977",
            "fax_number": "912-280-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 STARLING ST",
            "address_2": "SUITE 603",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204265",
            "telephone_number": "912-280-9977",
            "fax_number": "912-280-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENUE PLASTIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-280-9977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Reichenberg, DPT
• Renfred R. Halverson DC., P.C. (Advanced Chiropractic Center)
• Rena Burlingame Rengo, MD
• John R Rentz, MD
• Turner W. Rentz Jr., M.D.
• Renue Surgery Center LLC
• Beth Respess, PA
• Revive Physical Therapy
• Rewritten Counseling
• Jose Salvador Reyes Oliva, MD

• Plastic and Reconstructive Surgery Physician in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Plastic and Reconstructive Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.