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GENESIS RENEWAL, INC.
NPI 1215567185
Clinic/Center in Bixby, OK

Active since January 20, 2020
12810 S MEMORIAL DR UNIT 307, BIXBY, OK 74008(918) 685-2896 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2026, Jan 13, 2023, May 31, 2020 and 1 more (4 updates tracked since 2020).

About Genesis Renewal, Inc. NPPES

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

GENESIS RENEWAL, INC. (NPI 1215567185) is a healthcare organization registered as a clinic/center in Bixby, Oklahoma and active in the NPI registry since January 2020. The organization lists Rebecca B Williamson, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1215567185
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGENESIS RENEWAL, INC.
Location Address12810 S MEMORIAL DR UNIT 307Bixby, OK 74008-5506
Mailing Address12810 S Memorial Dr Unit 307Bixby, OK 74008-5506 · (918) 685-2896
Phone(918) 685-2896
Organization SubpartNo
Authorized OfficialRebecca B WilliamsonAuthorized Official · (918) 685-2896
Enumeration DateJanuary 20, 2020
Last NPPES UpdateApril 1, 20264 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
✔ NPI 1215567185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
12810 S MEMORIAL DR UNIT 307, Bixby, OK 74008
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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 Genesis Renewal, Inc.'s NPI number?

The NPI number for Genesis Renewal, Inc. is 1215567185. It was assigned to this organization in the NPPES registry on January 20, 2020.

Where is Genesis Renewal, Inc. located?

Genesis Renewal, Inc. is located at 12810 S Memorial Dr Unit 307, Bixby, OK 74008. The listed phone number is (918) 685-2896.

What is Genesis Renewal, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Genesis Renewal, Inc. was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.