1. Home
  2. Directory
  3. Georgia
  4. Hampton
  5. Family Medicine
  6. NPI Profile

RENEW WELLNESS INC
NPI 1053779058
Family Medicine in Hampton, GA

Active since February 04, 2016
11348 TARA BLVD, STE 100, HAMPTON, GA 30228(678) 466-6424(678) 466-6464 Get Directions Write a Review

NPPES record last updated: February 4, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Renew Wellness Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENEW WELLNESS INC (NPI 1053779058) is a healthcare organization registered as a family medicine in Hampton, Georgia and active in the NPI registry since February 2016. The organization lists Stacy Petit, Owner, as its authorized official.

NPPES Registry Identity

NPI1053779058
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRENEW WELLNESS INC
Location Address11348 TARA BLVD, STE 100Hampton, GA 30228-6277
Mailing Address11348 Tara Blvd, Ste 100Hampton, GA 30228-6277 · (678) 466-6424 · Fax (678) 466-6464
Phone(678) 466-6424
Fax(678) 466-6464
Organization SubpartNo
Authorized OfficialStacy PetitOwner · (678) 615-4029
Enumeration DateFebruary 4, 2016
✔ NPI 1053779058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 048349
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11348 TARA BLVD, Hampton, GA 30228
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FPDOCTORS
Clinic/Center (Primary Care)
11348 TARA BLVD, SUITE 100
HAMPTON, GA 30228
Henry County (800) 734-8186
EXPRESS CARE LLC
Clinic/Center (Urgent Care)
11348 TARA BLVD, SUITE 100
HAMPTON, GA 30228
Henry County (800) 734-8186

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renew Wellness Inc's NPI number?

The NPI number for Renew Wellness Inc is 1053779058. It was assigned to this organization in the NPPES registry on February 4, 2016.

Where is Renew Wellness Inc located?

Renew Wellness Inc is located at 11348 Tara Blvd Ste 100, Hampton, GA 30228. The listed phone number is (678) 466-6424.

What is Renew Wellness Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Renew Wellness Inc was last updated on February 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.