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RENEWED HOPE HEALTH & WELLNESS, LLC
NPI 1740026541
Nurse Practitioner - Psychiatric/Mental Health in Jesup, GA

Active since July 02, 2024
191 SE BROAD ST, JESUP, GA 31546(912) 559-2710(912) 216-3672 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 8, 2024, Aug 9, 2024, Jul 2, 2024 (3 updates tracked since 2024).

About Renewed Hope Health & Wellness, Llc NPPES

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

RENEWED HOPE HEALTH & WELLNESS, LLC (NPI 1740026541) is a healthcare organization registered as a psychiatric/mental health in Jesup, Georgia and active in the NPI registry since July 2024. The organization lists Mandy Diane Hubbard, President, as its authorized official.

NPPES Registry Identity

NPI1740026541
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameRENEWED HOPE HEALTH & WELLNESS, LLC
Location Address191 SE BROAD STJesup, GA 31546-4628
Mailing Address441 Forrest Cove DrJesup, GA 31546-2144 · (912) 559-2710 · Fax (912) 216-3672
Phone(912) 559-2710
Fax(912) 216-3672
Organization SubpartNo
Authorized OfficialMandy Diane HubbardPresident · (912) 223-5970
Enumeration DateJuly 2, 2024
Last NPPES UpdateOctober 8, 20243 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
✔ NPI 1740026541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
191 SE BROAD ST, Jesup, GA 31546
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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

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 Hope Health & Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Renewed Hope Health & Wellness, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Jessica Clark, APRN
Nurse Practitioner
NPI 1417412917
1007 MARY ST
Waycross, GA 31503
(800) 342-8168
✔ PECOS✔ Accepts Medicare39 mi
Courtney Fuller, PMHNP-BC
Nurse Practitioner
NPI 1235024951
1332 SOUTHERN DR
Statesboro, GA 30460
(912) 901-7489
✔ PECOS✔ Accepts Medicare57 mi

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 Hope Health & Wellness, LLC's NPI number?

The NPI number for Renewed Hope Health & Wellness, LLC is 1740026541. It was assigned to this organization in the NPPES registry on July 2, 2024.

Where is Renewed Hope Health & Wellness, LLC located?

Renewed Hope Health & Wellness, LLC is located at 191 SE Broad St, Jesup, GA 31546. The listed phone number is (912) 559-2710.

What is Renewed Hope Health & Wellness, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Renewed Hope Health & Wellness, LLC enrolled in Medicare?

Yes. Renewed Hope Health & Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renewed Hope Health & Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Renewed Hope Health & Wellness, LLC. 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. 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 Hope Health & Wellness, LLC was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.