RENEW MEDICAL MANAGEMENT (NPI# 1912516980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912516980 |
| Entity Type | Organization |
| Organization Name | RENEW MEDICAL MANAGEMENT |
| Practice Address |
78 Opal St Cartersville GA 30120-2848 |
| Mailing Address |
838 Cannon Run Sw Marietta GA 30064-4600 |
| Practice Telephone | 4045503543 |
| Practice Fax Number | 6784332074 |
| Mailing Telephone | 4045503543 |
| Mailing Fax Number | 6784332074 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Authorized Official Name | LEANTHONY A HARDY (DOCTOR) |
| Authorized Official Telephone | 4045503543 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Renew Medical Management, LLC | 6825 S. Galena St., Suite 200, Greenwood Village, CO 80112 |
| Street Address |
78 OPAL ST |
| City | CARTERSVILLE |
| State | GA |
| Zip Code | 30120-2848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992755573 | Sunbridge Retirement Care Associates LLC | Skilled Nursing Facility | 78 Opal St, Cartersville, GA 30120-2848 | 2006-05-12 |
| 1902451404 | Anh Ngoc Nguyen | Nurse Practitioner | 78 Opal St, Cartersville, GA 30120-2848 | 2019-08-02 |
| 1437702396 | Cartersville Nursing LLC | Skilled Nursing Facility | 78 Opal St, Cartersville, GA 30120-2848 | 2019-07-19 |
| 1356908818 | Darin Gregg | Occupational Therapy Assistant | 78 Opal St, Cartersville, GA 30120-2848 | 2019-05-21 |
| 1023570595 | Brittany Alexis Bennett | Occupational Therapy Assistant | 78 Opal St, Cartersville, GA 30120-2848 | 2019-04-03 |
| 1184116725 | Mallory Metraw | Student in an Organized Health Care Education/Training Program | 78 Opal St, Cartersville, GA 30120-2848 | 2018-05-30 |
| 1871027656 | Charles Friedlander | Physical Therapy Assistant | 78 Opal St, Cartersville, GA 30120-2848 | 2017-04-18 |
| 1205375888 | Crystal Duke | Occupational Therapy Assistant | 78 Opal St, Cartersville, GA 30120-2848 | 2017-02-16 |
| 1881068526 | Jaime Waicus Melito | Occupational Therapist | 78 Opal St, Cartersville, GA 30120-2848 | 2015-11-18 |
| 1912370776 | William Brock Mcfarland | Physical Therapy Assistant | 78 Opal St, Cartersville, GA 30120-2848 | 2015-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
| 1538719273 | The Golden Ages Corporoation | Nursing Care | 41 Walden Crossing, Cartrsville, GA 30120 | 2019-09-15 |
| 1932752391 | Jennifer Elaine Mclaurin | Counselor | 911 N. Tennesse Street, Suite 107, Cartersville, GA 30120 | 2019-07-24 |
| 1164989497 | Kayla Elizabeth Hoskins | Occupational Therapist | 7 E Cherokee Ave, Cartersville, GA 30120 | 2019-02-22 |
| 1942785837 | Adriane L Alexander | Social Worker | 24 Meadowbridge Drive, Cartersville, GA 30120 | 2018-09-26 |
| 1306329362 | Ashley Elizabeth Deal | Nurse Practitioner | 958a Joe Frank Harris Parkway, Suite 101, Cartersville, GA 30120 | 2018-09-14 |
| 1376037606 | Samuel Gilreath Tumlin | Dentist | 701 N. Tennessee St., Cartersville, GA 30120 | 2018-06-20 |
| 1437669108 | Deborah Susan Luper | Counselor | 106 Forrest Avenue, A Healing Place, Cartersville, GA 30120 | 2017-10-06 |
| 1750810693 | Debbie Fearon | Registered Nurse | 523 Mountain Chase, Cartersville, GA 30120 | 2017-06-05 |
| 1023486388 | Amanda Stanley | Pharmacist | 1150 West Ave, Cartersville, GA 30120 | 2015-09-03 |
| Find all providers in zip 30120 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023249760 | Jeffrey D. Esslinger, Md, PC | Clinic/Center | 300 Courtyard Dr Se, Suite A, Cartersville, GA 30120-8535 | 2009-07-29 |
| 1376864538 | Community Health Network of Northeast Georgia | Clinic/Center | 1 N Tennessee St, Cartersville, GA 30120-3339 | 2010-06-22 |
| 1861413767 | Westside Family Medicine | Clinic/Center | 775 West Ave, Suite A, Cartersville, GA 30120-3481 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809108 | Lexington Primary Care LLC | Clinic/Center | 777 Athens Rd, Lexington, GA 30648-1902 | 2020-10-20 |
| 1619575834 | The Iv Spot, LLC. | Clinic/Center | 2100 Parklake Dr Ne # C-5, Atlanta, GA 30345-2824 | 2020-10-09 |
| 1528673514 | Safe Haven Medical Services | Clinic/Center | 444 Racetrack Rd, Mcdonough, GA 30252-6837 | 2020-09-15 |
| 1780296533 | North Atlanta Mental Wellness | Clinic/Center | 1742 Mount Vernon Rd Ste 150b, Atlanta, GA 30338-4251 | 2020-08-21 |
| 1639788136 | Walker Health and Wellness LLC | Clinic/Center | 111 Bradford Dr, Bloomingdale, GA 31302-4926 | 2020-07-30 |
| 1942827332 | Primary Care of Coastal Georgia | Clinic/Center | 214a Professional Cir, St Marys, GA 31558 | 2020-07-01 |
| 1598389637 | Mercie Health | Clinic/Center | 3721 New Macland Rd Ste 246, Powder Springs, GA 30127-2000 | 2020-06-04 |
| 1366061699 | Beyondmed LLC | Clinic/Center | 1820 Willow Branch Ln Nw, Kennesaw, GA 30152-4558 | 2020-04-16 |
| 1366082596 | Rock Health Inc | Clinic/Center | 5385 Five Forks Trickum Rd Ste F, Stone Mountain, GA 30087-3018 | 2020-01-15 |
| 1477192219 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 5163 Thompson Bridge Rd, Murrayville, GA 30564-1930 | 2019-12-26 |
| Find all providers with the same taxonomy | ||||
| City | CARTERSVILLE |
| Zip Code | 30120 |
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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.