OrganizationActive
Renew Wellness Inc
NPI 1053779058 · Family Medicine Physician · Hampton, GA
Renew Wellness Inc is a Family Medicine Physician organization in Hampton, GA (NPI 1053779058).
Provider details
- NPI number
- 1053779058
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stacy Petit, Owner(678) 615-4029
- License
- 048349 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11348 Tara Blvd
Ste 100
Hampton, GA 30228-6277
Phone: (678) 466-6424
Fax: (678) 466-6464
Street-level locationGet directions
Mailing address
11348 Tara Blvd
Hampton, GA 30228-6277
Registry dates
- Enumerated
- 2016-02-04
- Last updated
- 2016-02-04
Frequently asked questions
- What is Renew Wellness Inc's NPI number?
- Renew Wellness Inc's National Provider Identifier (NPI) is 1053779058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renew Wellness Inc?
- Renew Wellness Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Renew Wellness Inc located?
- Renew Wellness Inc's practice location on file with NPPES is 11348 Tara Blvd, Hampton, GA 30228-6277.
- What is Renew Wellness Inc's phone number?
- The practice phone number listed in the NPPES registry for Renew Wellness Inc is (678) 466-6424.
- Who is the authorized official for Renew Wellness Inc?
- The authorized official listed on Renew Wellness Inc's NPPES record is Stacy Petit, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renew Wellness Inc's NPI active?
- Yes — Renew Wellness Inc's NPI (1053779058) is active in the NPPES registry as of the last update on 2016-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.