Phoenix Ortho Injury Spine and Extremity Surgery Center

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

PHOENIX ORTHO INJURY SPINE AND EXTREMITY SURGERY CENTER

Practice address

1805 Parke Plaza Cir Ste 103
Stone Mountain, GA 30087-3646

Phone

(678) 892-5590

Fax

(678) 449-0102

NPI assigned

Mar 13, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rachel Renfro, NPNPI 1720602642

Title

ASC Director

Phone

(706) 267-0148

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Renfro, NP

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1720602642
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1033919709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 PARKE PLAZA CIR STE 103",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873646",
            "telephone_number": "678-892-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 PARKE PLAZA CIR STE 103",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873646",
            "telephone_number": "678-892-5590",
            "fax_number": "678-449-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX ORTHO INJURY SPINE AND EXTREMITY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "RENFRO",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "ASC DIRECTOR",
        "authorized_official_telephone_number": "706-267-0148",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Phan
• Philemon Healthcare Services LLC
• Philemon Surgical Associates Inc
• Adrian Philpot
• Phoenix Ortho Injury Spine and Extremity Medical Services LLC
• Melina Pierre Hayes
• Claudette Pile
• Andrea Pindling, NP
• Nena Watson Pinnix
• Pioneer Ambulance Services LLC

• Orthopaedic Surgery Physician in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Orthopaedic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.