Renaissance Recovery Group Inc

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

NTP001016 Issued in GA

Legal business name

RENAISSANCE RECOVERY GROUP INC

Practice address

601 Bombay LN
Roswell, GA 30076-5828

Phone

(770) 754-4674

Fax

(770) 754-4676

NPI assigned

Jul 13, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Cassandra Wanzo, MDNPI 1518914217

Title

Medical Director

Phone

(770) 754-4674

Specialties & licenses 1

Addresses

Other names 1

• North Fulton Treatment Center Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cassandra L Wanzo, MD

  • Psychiatry Physician
  • Roswell, GA
  • NPI 1518914217
  NPD (past) Authorized official
• Melissa Ragsdale Goodwin, LPC

  • Professional Counselor
  • Roswell, GA
  • NPI 1013060565
  NPD
• Kia Heard

  • Licensed Practical Nurse
  • Roswell, GA
  • NPI 1689462442
  NPD (past)
• Dianne Stanford Johnson, LCSW

  • Social Worker
  • Roswell, GA
  • NPI 1922384320
  NPD (past)
• Ashley Lynn Phelps, ARNP

  • Family Nurse Practitioner
  • Roswell, GA
  • NPI 1376053314
  NPD (past)
• Brandi Quinn, ANP-BC

  • Adult Health Nurse Practitioner
  • Woodstock, GA
  • NPI 1932475639
  NPD (past)

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1881906386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BOMBAY LN",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765828",
            "telephone_number": "770-754-4674",
            "fax_number": "770-754-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BOMBAY LN",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765828",
            "telephone_number": "770-754-4674",
            "fax_number": "770-754-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE RECOVERY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "WANZO",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "770-754-4674",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "GA",
            "license": "NTP001016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Fulton Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick Ryan Reitz, PT
• Rejuvinnate Chiropractic and Wellness, LLC
• Relia Homecare LLC
• Relymd Medical Group Ga, LLC
• Russell David Remaley, D.D.S.
• Renal Carepartners of Roswell LLC
• Renal Treatment Centers Mid Atlantic Inc
• Renovating Hope Counseling and Spiritual Direction, LLC
• Laurie D Renshaw, PHARM D, RPH
• William Randall Renshaw, RPH, PHARM D

• Methadone Clinic in Roswell, GA
• Providers in Roswell, GA by specialty
• Methadone Clinic in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.