RENAISSANCE SURGICAL CENTRE, LLC
NPI 1396743514
Clinic/Center - Ambulatory Surgical in Macon, GA

Q: What is Renaissance Surgical Centre, LLC's NPI number?

The NPI number for Renaissance Surgical Centre, LLC is 1396743514. It was assigned to this organization in the NPPES registry on July 12, 2005.

Q: What is Renaissance Surgical Centre, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since July 12, 2005

4030 RIVERSIDE PARK BLVD, MACON, GA 31210(478) 474-2200(478) 314-0740 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Renaissance Surgical Centre, Llc NPPES

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

RENAISSANCE SURGICAL CENTRE, LLC (NPI 1396743514) is a healthcare organization registered as an ambulatory surgical in Macon, Georgia and active in the NPI registry since July 2005. The organization lists Roy Powell, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1396743514

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameRENAISSANCE SURGICAL CENTRE, LLC

Location Address4030 RIVERSIDE PARK BLVDMacon, GA 31210-1365

Mailing Address4030 Riverside Park BlvdMacon, GA 31210-1365 · (478) 474-2200 · Fax (478) 314-0740

Phone(478) 474-2200

Fax(478) 314-0740

Organization SubpartNo

Authorized OfficialRoy PowellMedical Director · (478) 474-2200

Enumeration DateJuly 12, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1396743514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

4030 RIVERSIDE PARK BLVD, Macon, GA 31210

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Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of excessive skin and fat of upper eyelid 15823

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

30 services15 patients

Other Providers at the Same Location NPPES 6

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

RENAISSANCE PLASTIC SURGERY

Specialist