| Renew Health South | |
|
6406 Carmel Rd Ste 304 Charlotte NC 28226-8267 | |
| (704) 541-6000 | |
| (704) 541-3350 |
| Full Name | Renew Health South |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 6406 Carmel Rd Ste 304, Charlotte, North Carolina |
| Authorized Official Name and Position | Micah Kirscher (OWNER) |
| Authorized Official Contact | 7043101175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Health South 6406 Carmel Rd Ste 304 Charlotte NC 28226-8267 Ph: (704) 541-6000 | Renew Health South 6406 Carmel Rd Ste 304 Charlotte NC 28226-8267 Ph: (704) 541-6000 |
| NPI Number | 1619548237 |
|---|---|
| Provider Enumeration Date | 07/06/2021 |
| Last Update Date | 12/30/2021 |
| Medicare PECOS PAC ID | 5395148233 |
|---|---|
| Medicare Enrollment ID | O20210729001401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619548237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
| Provider Name | Todd Lockhart |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1053369587 PECOS PAC ID: 1759489933 Enrollment ID: I20101202000518 |
| Provider Name | Johnny B Moody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326488875 PECOS PAC ID: 0840433108 Enrollment ID: I20130905000588 |
| Provider Name | Micah Kirscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821546326 PECOS PAC ID: 4880974005 Enrollment ID: I20161206000470 |
Novant Health Infectious Disease Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Suite 216, Charlotte, NC 28207 Phone: 704-384-5416 Fax: 704-384-5996 | |
Atrium Health Infectious Disease Pineville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10660 Park Rd, Ste 4400, Charlotte, NC 28210 Phone: 704-355-0607 | |
Amity Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6010 E W T Harris Blvd, Charlotte, NC 28215 Phone: 704-208-4134 Fax: 704-248-8068 | |
Companion Health, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5029 Lady Fern Cir, Charlotte, NC 28211 Phone: 704-236-2658 | |
Novant Health Carolina Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7110 Lawyers Rd, Charlotte, NC 28227 Phone: 704-537-0020 Fax: 704-316-8634 | |
Kent Seitz Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1421 Orchard Lake Drive, Suite C, Charlotte, NC 28270 Phone: 704-844-0181 Fax: 904-701-6279 | |
Health And Wellness Services Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 E 5th St, Suite 214, Charlotte, NC 28202 Phone: 704-909-7954 |