HealtHIE Georgia Corporation – Family Nurse Practitioner, NPI 1912545153

Family Nurse Practitioner

HealtHIE Georgia Corporation is a healthcare provider. based in Clayton, Georgia. specializing in Family Nurse Practitioner. The NPI Number for HealtHIE Georgia Corporation is 1912545153

Main info

Organization

Name

HealtHIE Georgia Corporation

NPI

1912545153

Phone

(706) 782-0764

Address

456 BULL FROG LN

Authorized Official

MARK RENFRO EXECUTIVE DIRECTOR

Enumeration Date

18 December 2019

Last Update Date

17 September 2025

Contacts

Secure Messaging

mark.renfro@healthiegeorgia.org

Secure Messaging

knicole.lee@healthiegeorgia.org

Secure Messaging

mark.renfro@healtHIEgeorgia.org

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience27

Completeness100

Years active:6State licenses:07/7 NPPES fields on file

Provider Addresses for HealtHIE Georgia Corporation

456 BULL FROG LN
CLAYTON, GA 305254064
Phone: (706) 782-0764
Fax: (706) 782-9837
Type: Mailing
655 HIGHWAY 441 S
Clayton, GA 305255425
Phone: (706) 212-0349
Fax: (706) 212-0351
Type: Location
821 S MAIN ST STE A
BAXLEY, GA 315130163
Phone: (912) 366-9371
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30525)

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Reviews

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Frequently asked questions

Is HealtHIE Georgia Corporation listed with a National Provider Identifier?

Yes — HealtHIE Georgia Corporation has NPI 1912545153 on file in the registry.

Active or inactive — what applies to HealtHIE Georgia Corporation?

You should see HealtHIE Georgia Corporation as active in CMS-hosted NPPES data.

How would a patient describe HealtHIE Georgia Corporation's focus?

For HealtHIE Georgia Corporation, the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.

Is HealtHIE Georgia Corporation associated with Clayton?

Public fields place HealtHIE Georgia Corporation around Clayton, Georgia. Always confirm the exact site before visiting.

When was this NPI issued?

Enumeration for HealtHIE Georgia Corporation is noted as December 18, 2019 where the registry provides it.