Renaissance Plastic Surgery
NPI 1063604791 · Specialist · Macon, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Renaissance Plastic Surgery is a Specialist organization in Macon, GA (NPI 1063604791).
Provider details
- NPI number
- 1063604791
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Kathy Stuart, Administrator(478) 474-2200
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Registry dates
- Enumerated
- 2007-08-16
- Last updated
- 2007-08-16
Frequently asked questions
- What is Renaissance Plastic Surgery's NPI number?
- Renaissance Plastic Surgery's National Provider Identifier (NPI) is 1063604791, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renaissance Plastic Surgery?
- Renaissance Plastic Surgery is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Renaissance Plastic Surgery located?
- Renaissance Plastic Surgery's practice location on file with NPPES is 4030 Riverside Park Blvd, Macon, GA 31210-1365.
- What is Renaissance Plastic Surgery's phone number?
- The practice phone number listed in the NPPES registry for Renaissance Plastic Surgery is (478) 474-2200.
- Does Renaissance Plastic Surgery accept Medicare?
- Renaissance Plastic Surgery is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Renaissance Plastic Surgery?
- The authorized official listed on Renaissance Plastic Surgery's NPPES record is Kathy Stuart, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renaissance Plastic Surgery's NPI active?
- Yes — Renaissance Plastic Surgery's NPI (1063604791) is active in the NPPES registry as of the last update on 2007-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.