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

Renuva Xtremity, LLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1205305430

Renuva Xtremity, LLC is a Foot & Ankle Surgery Podiatrist in Memphis, Tennessee. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
6
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

2900 Kirby Pkwy Ste 5
Memphis, TN 38119
Phone: (901) 309-8898
Fax: (901) 309-5908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X
Physical Therapy Clinic/Center Taxonomy 261QP2000X
Clinical Medical Laboratory Taxonomy 291U00000X
Physiological Laboratory Taxonomy 293D00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Prosthetic/Orthotic Supplier Taxonomy 335E00000X

Record details

NPI number1205305430
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nathan Lucas — Podiatrist · (901) 309-8898
NPI enumeratedNovember 16, 2018
Last updated in NPPESApril 14, 2020
Certification dateApril 14, 2020
Mailing address2900 Kirby Pkwy, Ste 5, Memphis, TN 38119

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