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RENEW HEALTH MEDICAL CENTER LLC
NPI 1790238871
Internal Medicine in Snellville, GA

Active since July 26, 2016CLIA 11D2158551 · Waiver
1550 JANMAR RD STE B, SNELLVILLE, GA 30078(770) 822-3031(770) 822-3032 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Renew Health Medical Center Llc NPPES

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

RENEW HEALTH MEDICAL CENTER LLC (NPI 1790238871) is a healthcare organization registered as an internal medicine in Snellville, Georgia and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through December 2, 2026 and lists Pharonda Lee, Owner, as its authorized official.

NPPES Registry Identity

NPI1790238871
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameRENEW HEALTH MEDICAL CENTER LLC
Location Address1550 JANMAR RD STE BSnellville, GA 30078-5779
Mailing Address1550 Janmar Rd Ste BSnellville, GA 30078-5779 · (770) 822-3031 · Fax (770) 822-3032
Phone(770) 822-3031
Fax(770) 822-3032
Organization SubpartNo
Authorized OfficialPharonda LeeOwner · (770) 822-3031
Enumeration DateJuly 26, 2016
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
✔ NPI 1790238871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X
1550 JANMAR RD STE B, Snellville, GA 30078
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Renew Health Medical Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Renew Health Medical Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Ayyaz Qureshi, MD
Internal Medicine
NPI 1730114026
1550 JANMAR RD STE B
Snellville, GA 30078
(770) 822-3031
✔ PECOS✔ Accepts MedicareSame address
Tammy Rivers, FNP-C
Nurse Practitioner
NPI 1417379652
1608 TREE LN BLDG C
Snellville, GA 30078
(678) 344-4472
✔ PECOS0.9 mi
Raymond Easley, D.O.
Family Practice
NPI 1255323655
260 ELM ST
Cumming, GA 30040
(770) 887-1668
✔ PECOS24 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 11D2158551

Renew Health Medical Center · Snellville, GA
Active · expires Dec 2, 2026
CLIA Number11D2158551
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorRaymond E. Easley
Laboratory Phone(770) 822-3031
Laboratory LocationRenew Health Medical Center1550 Janmar Road, Suite B, Snellville, GA 30078
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Renew Health Medical Center LLC's NPI number?

The NPI number for Renew Health Medical Center LLC is 1790238871. It was assigned to this organization in the NPPES registry on July 26, 2016.

Where is Renew Health Medical Center LLC located?

Renew Health Medical Center LLC is located at 1550 Janmar Rd Ste B, Snellville, GA 30078. The listed phone number is (770) 822-3031.

What is Renew Health Medical Center LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Renew Health Medical Center LLC enrolled in Medicare?

Yes. Renew Health Medical Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renew Health Medical Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Renew Health Medical Center LLC, in Family Practice, Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Renew Health Medical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2158551) is associated with this NPI, valid through December 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Renew Health Medical Center LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Renew Health Medical 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 Renew Health Medical Center LLC was last updated on January 31, 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.