Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Renaissance Surgical Associates, Inc

Organization Surgical Assistant · NPI 1700258076

Renaissance Surgical Associates, Inc provides Surgical Assistant services in College Park, Georgia. Licensed in Virginia. Registered with an NPI since 2015.

Licensed in
VA
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

355 Magnolia Walk Ln
College Park, GA 30349-4073 Not confirmed with CMS for 10 years — call before visiting
Phone: (678) 488-0954
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 785 (VA)

Record details

NPI number1700258076
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roxson Blount — President · (678) 488-0954
NPI enumeratedOctober 27, 2015
Last updated in NPPESOctober 27, 2015
Mailing address355 Magnolia Walk Ln, College Park, GA 30349-4073

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