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

Renaissance Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1780157990

Renaissance Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in Bristol, Tennessee. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

320 Bristol West Blvd Ste 1A
Bristol, TN 37620-8773
Phone: (423) 844-1399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1780157990
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Sermons — Owner · (423) 857-2028
NPI enumeratedJanuary 10, 2019
Last updated in NPPESMarch 16, 2022
Certification dateMarch 16, 2022
Mailing addressPo Box 9, Attn Credentialing, Kingsport, TN 37662

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