Renew Wellness Inc
Renew Wellness Inc is a healthcare organization registered as Family Medicine Physician in Hampton, GA, holding Type 2 (organization) NPI 1053779058 since 2016. The authorized official on file is Stacy Petit, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053779058 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Renew Wellness Inc |
| Practice address | 11348 TARA BLVD, STE 100, Hampton, GA, 30228 |
| Phone | 6784666424 |
| Fax | 6784666464 |
| Enumeration date | 2016-02-04 |
| Last updated in NPPES | 2016-02-04 |
Authorized official
| Name | Stacy Petit |
|---|---|
| Title | Owner |
| Phone | 6786154029 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | 048349 | GA |
Copy-ready billing details
Provider: Renew Wellness Inc NPI: 1053779058 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 11348 TARA BLVD, STE 100, Hampton, GA, 30228
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1336372150 | Fpdoctors | Organization | Primary Care Clinic/Center | Hampton, GA |
| 1861767790 | Express Care LLC | Organization | Urgent Care Clinic/Center | Hampton, GA |
Verify this record
Cross-check NPI 1053779058 against the authoritative CMS record: view Renew Wellness Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Renew Wellness Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-02-04.