Renew Medical Management

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

RENEW MEDICAL MANAGEMENT

Practice address

78 Opal St
Cartersville, GA 30120-2848

Phone

(404) 550-3543

Fax

(678) 433-2074

NPI assigned

Jul 27, 2020

Last updated

Jul 27, 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

Leanthony A Hardy, M.D

Title

Doctor

Phone

(404) 550-3543

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1912516980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 CANNON RUN SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644600",
            "telephone_number": "404-550-3543",
            "fax_number": "678-433-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 OPAL ST",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202848",
            "telephone_number": "404-550-3543",
            "fax_number": "678-433-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW MEDICAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "LEANTHONY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "404-550-3543",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NPI",
            "affiliation": "N",
            "endpointDescription": "NPI",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "78 Opal St",
            "city": "Cartersville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301202848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gillclericalservices@gmail.com",
            "affiliation": "N",
            "endpointDescription": "gillclericalservices@gmail.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "78 Opal St",
            "city": "Cartersville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301202848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rory Bardell Reid, LPN
• Leah Sierra Reilly
• Reliable DME Services, LLC
• Reliable Health Services
• Remedy Counseling (The Remedy Counseling)
• Resilient Physio, LLC
• Respiratory Consultants of Georgia
• Respiratory Consultants of Georgia
• Respiratory Consultants of Georgia LLC
• Respiratory Consultants of Georgia Sleep Center

• Primary Care Clinic/Center in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.