RENAISSANCE SURGERY CENTER, LLC
NPI 1780157990
Clinic/Center - Ambulatory Surgical in Bristol, TN

Q: What is Renaissance Surgery Center, LLC's NPI number?

The NPI number for Renaissance Surgery Center, LLC is 1780157990. It was assigned to this organization in the NPPES registry on January 10, 2019.

Q: What is Renaissance Surgery Center, LLC's specialty?

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

Active since January 10, 2019CLIA 44D2163339 · Waiver

320 BRISTOL WEST BLVD STE 1A, BRISTOL, TN 37620(423) 844-1399 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2019, Jan 10, 2019 (2 updates tracked since 2019).

On this page

About Renaissance Surgery Center, Llc NPPES

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

RENAISSANCE SURGERY CENTER, LLC (NPI 1780157990) is a healthcare organization registered as an ambulatory surgical in Bristol, Tennessee and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through March 11, 2027 and lists Randall Sermons, Owner, as its authorized official.

NPPES Registry Identity

NPI1780157990

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameRENAISSANCE SURGERY CENTER, LLC

Location Address320 BRISTOL WEST BLVD STE 1ABristol, TN 37620-8773

Mailing AddressPo Box 9, Attn CredentialingKingsport, TN 37662 · (423) 857-2066

Phone(423) 844-1399

Organization SubpartNo

Authorized OfficialRandall SermonsOwner · (423) 857-2028

Enumeration DateJanuary 10, 2019

Last NPPES UpdateMarch 16, 20222 updates tracked since enumeration

NPPES CertifiedMarch 16, 2022

✔ NPI 1780157990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

320 BRISTOL WEST BLVD STE 1A, Bristol, TN 37620

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2163339

Reniassance Surgery Center, LLC · Bristol, TN

Active · expires Mar 11, 2027

CLIA Number44D2163339

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMarch 12, 2025

Certificate Expiration DateMarch 11, 2027

Laboratory DirectorDr. Steven Holt

Laboratory Phone(423) 817-8832

Laboratory LocationReniassance Surgery Center, LLC320 Bristol West Blvd Ste 1A, Bristol, TN 37620

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 13

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.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

295 services159 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

224 services75 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

107 services65 patients

Repair of pelvic ligaments through vagina 57282

This procedure involves mending the supportive tissues in your lower body region, accessed via the birth canal. It helps enhance stability and alleviate discomfort. The process is performed under anesthesia, ensuring a pain-free experience.

47 services46 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

41 services39 patients

Repair of bladder hernia into vaginal wall 57240

This procedure involves fixing a bulge in the bladder that has extended into the wall of the lower body passage. This bulge may cause discomfort or problems with normal body functions. The process realigns the bladder to its correct position, providing relief.

38 services38 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

38 services32 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

37 services18 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

32 services24 patients

Creation of sling around urethra in female to control leakage 57288

This procedure involves creating a supportive loop around a tube in your lower body that carries liquid waste. This helps manage any unwanted leakage, providing you with better control and comfort.

27 services27 patients

Repair of herniated rectum into vaginal wall 57250

This procedure involves correcting a physical condition where part of the rectum bulges into the vaginal area. It's done by repositioning the rectum and strengthening the tissue between the two areas to prevent recurrence.

16 services16 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

14 services11 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

12 services12 patients

Other Providers at the Same Location NPPES

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

ADVANCED ANESTHESIA SOLUTIONS INC.

Nurse Anesthetist, Certified Registered

320 BRISTOL WEST BLVD STE 1A
BRISTOL, TN 37620

Sullivan County (423) 226-2479

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 Renaissance Surgery Center, LLC's NPI number?

The NPI number for Renaissance Surgery Center, LLC is 1780157990. It was assigned to this organization in the NPPES registry on January 10, 2019.

Where is Renaissance Surgery Center, LLC located?

Renaissance Surgery Center, LLC is located at 320 Bristol West Blvd Ste 1A, Bristol, TN 37620. The listed phone number is (423) 844-1399.

What is Renaissance Surgery Center, LLC's specialty?

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

Does Renaissance Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2163339) is associated with this NPI, valid through March 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Renaissance Surgery Center, LLC accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Renaissance Surgery Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Renaissance Surgery Center, LLC was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.