Renaissance Plastic Surgery
NPI 1063604791ActiveOrganization· Specialist· Macon, GA
Specialist in Macon, Georgia, registered in NPPES in August 2007. The authorized official on file is Kathy Stuart, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063604791 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 16, 2007 |
| Last updated in NPPES | Aug 16, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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All 67 Specialist providers in Macon · All Specialist providers in Georgia