Renew Medical Center LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

RENEW MEDICAL CENTER LLC

Practice address

1937 Cook St
Dyersburg, TN 38024-1882

Phone

(731) 478-6002

Fax

(731) 478-6234

NPI assigned

Oct 14, 2020

Organization subpart

No

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

Authorized official

Name

Breck M BeasleyNPI 1861528481

Title

President

Phone

(731) 478-6002

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Breck Markham Beasley, DC

  • Chiropractor
  • Covington, TN
  • NPI 1861528481
  NPD Authorized official
• David Terrance Conner, M.D.

  • Emergency Medicine Physician
  • Memphis, TN
  • NPI 1639313711
  NPD

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1982202750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 COOK ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241882",
            "telephone_number": "731-478-6002",
            "fax_number": "731-478-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1937 COOK ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241882",
            "telephone_number": "731-478-6002",
            "fax_number": "731-478-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "BRECK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-478-6002"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Ramsey, OTA
• Red Embers Emergency Physicians, LLC
• Redemption Recovery Center, LLC
• Ronald J. Reed, D.D.S.
• Regional Anesthesia Services PLLC
• Paul William Rettinger, PHARM.D.
• Revitalize Counseling & Consultation Services
• Anne Barret Richards, MSN, APRN, FNP-C
• Jane Alison Riles, DNP-C
• Riverside Surgery Center, LLC

• All providers in Dyersburg, TN
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.