Organization
Renew Addiction Treatment Center
Provider's NPPES record last updated: September 9, 2022
Overview
- Entity Type
- Organization
- NPI
- 1063810091
- Primary Specialty
- Family Medicine — Addiction Medicine
- Practice Location
- Pikeville, Kentucky
- Organization Subpart
- Yes
- Parent Organization
- Adapt
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 1:05 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Family Medicine
Addiction Medicine
Allopathic & Osteopathic Physicians
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Taxonomy code 207QA0401X Internal Medicine
Addiction Medicine
Allopathic & Osteopathic Physicians
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Taxonomy code 207RA0401XPsychiatry & Neurology
Addiction Medicine
Allopathic & Osteopathic Physicians
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Taxonomy code 2084A0401X
Provider-Reported License Information
- Family Medicine (Kentucky)
- 740318
- Internal Medicine (Kentucky)
- 740318
- Psychiatry & Neurology (Kentucky)
- 740318
Practice Locations
Practice Location
400 Venters Ln Ste 100
Pikeville, Kentucky 41501-3016
Phone: (606) 653-1505
Other Names
- Behavioral Health ProfessionalsReported September 9, 2022
- Renew AtcReported September 9, 2022
Record Information
- Enumeration Date
- December 8, 2014
- Provider's NPPES Record Last Updated
- September 9, 2022
- Certification Date
- September 9, 2022
- NPISignal NPPES Dataset
- August 2026
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