RENAISSANCE RECONSTRUCTION LLC – Plastic Surgery Physician, NPI 1215645379

RENAISSANCE RECONSTRUCTION LLC is a healthcare provider. based in Macon, Georgia. specializing in Plastic Surgery Physician. The NPI Number for RENAISSANCE RECONSTRUCTION LLC is 1215645379

Main info

Organization
Name
RENAISSANCE RECONSTRUCTION LLC
NPI
1215645379
Phone
(478) 474-2200
Address
PO BOX 27435
Authorized Official
LISA CASTRO ADMINISTRATOR
Enumeration Date
8 November 2022
Last Update Date
8 November 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

Provider Addresses for RENAISSANCE RECONSTRUCTION LLC

  • PO BOX 27435

    MACON, GA 312217435

    Phone: (478) 474-2200

    Fax: (478) 314-0740

    Type: Mailing

  • 3379 OSBORNE PL

    MACON, GA 312041901

    Phone: (478) 474-2200

    Fax: (478) 314-0740

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31221)

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Reviews

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Frequently asked questions

What is the registry number for RENAISSANCE RECONSTRUCTION LLC?
The registry entry for RENAISSANCE RECONSTRUCTION LLC shows NPI 1215645379.
Is RENAISSANCE RECONSTRUCTION LLC currently accepting referrals based on NPI status?
Registry metadata lists RENAISSANCE RECONSTRUCTION LLC as active.
What type of care does RENAISSANCE RECONSTRUCTION LLC provide?
RENAISSANCE RECONSTRUCTION LLC's profile centers on Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Can patients visit RENAISSANCE RECONSTRUCTION LLC in Macon, Georgia?
For routing, start with Macon, Georgia for RENAISSANCE RECONSTRUCTION LLC, then verify phone and hours locally.
Who maintains RENAISSANCE RECONSTRUCTION LLC's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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