RENAISSANCE RECONSTRUCTION LLC
NPI 1215645379
Plastic Surgery in Macon, GA

NPI Status: Active since November 08, 2022

Contact Information

3379 OSBORNE PL
MACON, GA
ZIP 31204
Phone: (478) 474-2200
Fax: (478) 314-0740

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  • Organization
  • Plastic Surgery

About RENAISSANCE RECONSTRUCTION LLC

This page provides the complete NPI Profile along with additional information for Renaissance Reconstruction Llc, a provider established in Macon, Georgia operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1215645379 assigned on November 2022. The practitioner's primary taxonomy code is 208200000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Lisa Castro (Administrator)

NPI
1215645379
Provider Name
RENAISSANCE RECONSTRUCTION LLC
Entity Type
Organization
Location Address
3379 OSBORNE PL MACON, GA 31204
Location Phone
(478) 474-2200
Location Fax
(478) 314-0740
Mailing Address
PO BOX 27435 MACON, GA 31221
Mailing Phone
(478) 474-2200
Mailing Fax
(478) 314-0740
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-08-2022
Last Update Date
11-08-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Plastic Surgery

Taxonomy Code
208200000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LISA CASTRO

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(478) 621-4213

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215645379
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
222512410314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 2 + 4 + 1 + 0 + 3 + 1 + 4 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1215645379 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1740732924 AMANDA PEACOCK CSFA
Individual
Specialist/Technologist, Other (Surgical Assistant)3379 OSBORNE PL
MACON, GA 31204
(478) 390-4141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215645379, enumerated in the NPI registry as an "organization" on November 08, 2022

The provider is located at 3379 Osborne Pl Macon, Ga 31204 and the phone number is (478) 474-2200

This medical organization specializes in Plastic Surgery with taxonomy code 208200000X

This NPI record was last updated on November 08, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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