RENUE PLASTIC SURGERY, LLC
NPI 1881609543
Surgery - Plastic and Reconstructive Surgery in Brunswick, GA

Active since July 30, 2006CLIA 11D1086147 · Waiver
2500 STARLING ST, SUITE 603, BRUNSWICK, GA 31520(912) 280-9977(912) 280-9995 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Renue Plastic Surgery, Llc NPPES

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

RENUE PLASTIC SURGERY, LLC (NPI 1881609543) is a healthcare organization registered as a plastic and reconstructive surgery in Brunswick, Georgia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 6, 2028 and lists Charles W. Mitchell, President, as its authorized official.

NPPES Registry Identity

NPI1881609543
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameRENUE PLASTIC SURGERY, LLC
Location Address2500 STARLING ST, SUITE 603Brunswick, GA 31520-4265
Mailing Address2500 Starling St, Suite 603Brunswick, GA 31520-4265 · (912) 280-9977 · Fax (912) 280-9995
Fax(912) 280-9995
Organization SubpartNo
Authorized OfficialCharles W. MitchellPresident · (912) 280-9977
Enumeration DateJuly 30, 2006
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
✔ NPI 1881609543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
2500 STARLING ST, Brunswick, GA 31520

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

Accepted 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)

Renue Plastic Surgery, 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 Renue Plastic Surgery, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Plastic and Reconstructive Surgery
NPI 1063428704
2500 STARLING ST SUITE 603
Brunswick, GA 31520
(912) 280-9977
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1144373051
2500 STARLING ST SUITE 603
Brunswick, GA 31520
(912) 280-9977
✔ PECOS✔ Accepts MedicareSame address

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 11D1086147

Renue Plastic Surgery Center LLC · Brunswick, GA
Active · expires Jul 6, 2028
CLIA Number11D1086147
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 7, 2026
Certificate Expiration DateJuly 6, 2028
Laboratory DirectorCharles W. Mitchell
Laboratory Phone(912) 280-9977
Laboratory LocationRenue Plastic Surgery Center LLC2500 Starling Street, 604, Brunswick, GA 31520
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 Renue Plastic Surgery, LLC's NPI number?

The NPI number for Renue Plastic Surgery, LLC is 1881609543. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Renue Plastic Surgery, LLC located?

Renue Plastic Surgery, LLC is located at 2500 Starling St Suite 603, Brunswick, GA 31520. The listed phone number is (912) 280-9977.

What is Renue Plastic Surgery, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Renue Plastic Surgery, LLC enrolled in Medicare?

Yes. Renue Plastic Surgery, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renue Plastic Surgery, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Renue Plastic Surgery, 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Renue Plastic Surgery, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1086147) is associated with this NPI, valid through July 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Renue Plastic Surgery, LLC accept?

Health plans from Alliant Health Plans, Inc. list Renue Plastic Surgery, 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 Renue Plastic Surgery, LLC was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.