RENEWED AXIS TELEHEALTH PLLC
NPI 1063301612
Clinic/Center - Primary Care in Charlotte, NC

Active since June 30, 2025
2101 SARDIS RD N STE 120B, CHARLOTTE, NC 28227(704) 840-2927 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 2, 2026, Jan 6, 2026, Jun 30, 2025 (3 updates tracked since 2025).

About Renewed Axis Telehealth Pllc NPPES

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

RENEWED AXIS TELEHEALTH PLLC (NPI 1063301612) is a healthcare organization registered as a primary care in Charlotte, North Carolina and active in the NPI registry since June 2025. The organization lists Nina Fombuh, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1063301612
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameRENEWED AXIS TELEHEALTH PLLC
Location Address2101 SARDIS RD N STE 120BCharlotte, NC 28227-7711
Mailing Address2101 Sardis Rd N Ste 120bCharlotte, NC 28227-7711 · (508) 840-2926
Organization SubpartNo
Authorized OfficialNina FombuhOwner/provider · (047) 741-2909
Enumeration DateJune 30, 2025
Last NPPES UpdateFebruary 2, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
NPI 1063301612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2101 SARDIS RD N STE 120B, Charlotte, NC 28227

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 Renewed Axis Telehealth PLLC's NPI number?

The NPI number for Renewed Axis Telehealth PLLC is 1063301612. It was assigned to this organization in the NPPES registry on June 30, 2025.

Where is Renewed Axis Telehealth PLLC located?

Renewed Axis Telehealth PLLC is located at 2101 Sardis Rd N Ste 120B, Charlotte, NC 28227. The listed phone number is (704) 840-2927.

What is Renewed Axis Telehealth PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Renewed Axis Telehealth PLLC was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.