Renuven Aco PLLC
NPI 1568209872 · Internal Medicine Physician · Johnson City, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Renuven Aco PLLC is a Internal Medicine Physician organization in Johnson City, TN (NPI 1568209872).
Provider details
- NPI number
- 1568209872
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bert Smith, Ceo(423) 557-5706
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2024-07-12
- Last updated
- 2024-07-12
- Certified
- 2024-07-12
Frequently asked questions
- What is Renuven Aco PLLC's NPI number?
- Renuven Aco PLLC's National Provider Identifier (NPI) is 1568209872, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renuven Aco PLLC?
- Renuven Aco PLLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Renuven Aco PLLC located?
- Renuven Aco PLLC's practice location on file with NPPES is 3209 Bristol Hwy, Johnson City, TN 37601-1515.
- What is Renuven Aco PLLC's phone number?
- The practice phone number listed in the NPPES registry for Renuven Aco PLLC is (423) 926-2358.
- Does Renuven Aco PLLC accept Medicare?
- Renuven Aco PLLC 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 Renuven Aco PLLC?
- The authorized official listed on Renuven Aco PLLC's NPPES record is Bert Smith, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renuven Aco PLLC's NPI active?
- Yes — Renuven Aco PLLC's NPI (1568209872) is active in the NPPES registry as of the last update on 2024-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.