RENEWALASC, LLC (NPI# 1144228883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144228883 |
| Entity Type | Organization |
| Organization Name | RENEWALASC, LLC |
| Other Organization Name | SHANKLIN PLASTIC SURGERY CENTER, LLC |
| Practice Address |
900 Mohawk St Suite A Savannah GA 31419 |
| Mailing Address |
900 Mohawk St Suite A Savannah GA 31419-1780 |
| Practice Telephone | 9129202090 |
| Practice Fax Number | 9129204114 |
| Mailing Telephone | 9129202090 |
| Mailing Fax Number | 9129204114 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2018-05-30 |
| Authorized Official Name | BARBARA KEEL (PATIENT ACCOUNT MANAGER) |
| Authorized Official Telephone | 9129205624 |
| Authorized Official Credential | CPC, CPB, CPRC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
025270 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 582173090A | 05 |
| Other Name | Type Code |
|---|---|
| Shanklin Plastic Surgery Center, LLC | Former Legal Business Name - Organization |
| Street Address |
900 MOHAWK ST SUITE A |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083612717 | Meghan K Mcgovern | Specialist | 900 Mohawk St, Suite A, Savannah, GA 31419-1780 | 2005-07-07 |
| 1740896059 | Charlene Rh Dimond | Registered Nurse | 900 Mohawk St, Savannah, GA 31419 | 2020-09-22 |
| 1184075012 | Martina Kolovich | Nurse Practitioner | 900 Mohawk St, Ste E, Savannah, GA 31419-1844 | 2016-06-22 |
| 1649312976 | Marsha L Brantley | Registered Nurse | 900 Mohawk St, Suite A, Savannah, GA 31419-1780 | 2007-02-13 |
| 1306996350 | Karen Mcbride | Registered Nurse | 900 Mohawk St, Suite A, Savannah, GA 31419-1780 | 2007-01-11 |
| 1851338131 | Renewalmd, PC | Plastic Surgery | 900 Mohawk St, Suite A, Savannah, GA 31419 | 2006-06-02 |
| 1295791408 | Cynthia Ann Doallas | Dermatology | 900 Mohawk St, Savannah, GA 31419-1780 | 2006-04-25 |
| 1427039254 | Sidney P Smith Md PC | Dermatology | 900 Mohawk St, E, Savannah, GA 31419-1780 | 2005-11-09 |
| 1104817410 | Sidney P Smith | Dermatology | 900 Mohawk St, Savannah, GA 31419-1780 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326549676 | Chatham Orthopaedic Asc, LLC | Clinic/Center | 4425 Paulsen St Bldg B2nd, Savannah, GA 31405-3662 | 2018-02-22 |
| 1184976599 | Savannah Foot and Ankle Surgery Center LLC | Clinic/Center | 310 Eisenhower Dr Ste 7, Savannah, GA 31406-2632 | 2012-10-09 |
| 1679792931 | Georgette Backus Bragg | Clinic/Center | 101 Egret Pt, Savannah, GA 31405-8111 | 2007-04-25 |
| 1437242211 | Georgia Center for Digestive Diseases, LLC | Clinic/Center | 501 Eisenhower Dr, Savannah, GA 31406-2668 | 2006-10-02 |
| 1730170564 | Savannah Partners, LLC | Clinic/Center | 13040 Abercorn Street, Suite 2, Savannah, GA 31419 | 2005-11-01 |
| 1508864463 | Savannah Outpatient Foot and Ankle Surgery Center, LLC | Clinic/Center | 310 Eisenhower Dr, Suite 7b, Savannah, GA 31406-2632 | 2005-07-13 |
| 1457892986 | Savannah Endoscopy Center, LLC | Clinic/Center | 1139 Lexington Ave, Suite B, Savannah, GA 31404-5502 | 2017-03-16 |
| 1851796908 | Savannah F&a Asc LLC | Clinic/Center | 310 Eisenhower Dr, Building 7, Savannah, GA 31406-2632 | 2014-10-31 |
| 1982044707 | Southeast Spine Center, LLC | Clinic/Center | 7450 Skidaway Rd, Savannah, GA 31406-6446 | 2013-06-25 |
| 1194068478 | South East Spone Care & Pain Mgmt | Clinic/Center | 7450 Skidaway Rd, Suite B, Savannah, GA 31406 | 2013-04-04 |
| Find all providers in SAVANNAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.