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

Renuven ACO PLLC

Organization Internal Medicine Physician · NPI 1568209872

Renuven ACO PLLC is an Internal Medicine Physician in Johnson City, Tennessee. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3209 Bristol Hwy
Johnson City, TN 37601-1515
Phone: (423) 926-2358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1568209872
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bert Smith — Ceo · (423) 557-5706
NPI enumeratedJuly 12, 2024
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026
Mailing address2717 E Oakland Ave, Johnson City, TN 37601-1843

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