Active NPI
Naomi Chineye Renfroe, HT(ASCP) CM, CPT
- Histology Specialist/Technologist
- Dallas, GA
National Provider Identifier
1780494716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Histology Specialist/Technologist
- License
- 26708
- Practice address
- 168 N Johnston St Ste 300
Dallas, GA 30132-4741 - Phone
- (877) 822-2349
- Fax
- (877) 341-4313
- NPI assigned
- Jan 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Laboratory Technician | 246RM2200X | |||
| Phlebotomy Technician | 246RP1900X | |||
| Clinical Medical Laboratory | 291U00000X | |||
| Histology Specialist/Technologist | 246QH0600X | 26708 | GA | Primary |
Addresses
Primary practice location
168 N Johnston St Ste 300
Dallas, GA 30132-4741
Mailing address
168 N Johnston St Ste 300
Dallas, GA 30132-4741
Phone (877) 822-2349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26708 | GA | MD | Histology Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NCR Medical Lab | Phlebology | Current | Accepting new patients |
Locations
168 N Johnston St
Ste 300
Dallas, GA 30132
Phone (877) 822-2349
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762560000000",
"number": "1780494716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 N JOHNSTON ST STE 300",
"city": "DALLAS",
"state": "GA",
"postal_code": "301324741",
"telephone_number": "877-822-2349",
"fax_number": "877-341-4313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 N JOHNSTON ST STE 300",
"city": "DALLAS",
"state": "GA",
"postal_code": "301324741",
"telephone_number": "877-822-2349",
"fax_number": "877-341-4313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENFROE",
"first_name": "NAOMI",
"middle_name": "CHINEYE",
"credential": "HT(ASCP) CM, CPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-11",
"last_updated": "2025-11-08",
"certification_date": "2025-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "246RM2200X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "246QH0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Histology",
"state": "GA",
"license": "26708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.