RENEWED HEALTH CLINIC PLLC
NPI 1205408564
Chiropractor in Mt Pleasant, TX
About Renewed Health Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENEWED HEALTH CLINIC PLLC (NPI 1205408564) is a healthcare organization registered as a chiropractor in Mt Pleasant, Texas and active in the NPI registry since July 2021. The organization lists Courtney M Durrum, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Renewed Health Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Renewed Health Clinic PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health Clinic PLLC's NPI number?
The NPI number for Renewed Health Clinic PLLC is 1205408564. It was assigned to this organization in the NPPES registry on July 15, 2021.
Where is Renewed Health Clinic PLLC located?
Renewed Health Clinic PLLC is located at 1318 S Jefferson Ave, Mt Pleasant, TX 75455. The listed phone number is (903) 572-1128.
What is Renewed Health Clinic PLLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Renewed Health Clinic PLLC enrolled in Medicare?
Yes. Renewed Health Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Renewed Health Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Renewed Health Clinic PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Chiropractic (4) and Nurse Practitioner (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Renewed Health Clinic PLLC was last updated on July 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Renewed Health Clinic Pllc · NPI 1205408564
Chiropractor organization in Mt Pleasant, Texas. Organization record, active in the CMS NPPES registry since July 15, 2021.
## Identity
- **NPI:** 1205408564 (Entity type: Organization)
- **Enumerated:** July 15, 2021
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Courtney Durrum, OWNER
## Practice location
- **Address:** 1318 S JEFFERSON AVE, Mt Pleasant, TX 75455-5355
- **Phone:** (903) 572-1128 · **Fax:** (903) 572-1138
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Chiropractic (4), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1205408564) · Data from the CMS NPPES public registry.