Active NPI
Henaku K Yirenkyi, M.D.
- Orthopaedic Surgery of the Spine Physician
- Stockbridge, GA
National Provider Identifier
1861712259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 076235
- Practice address
- 1240 Eagles Landing Pkwy
Suite 300
Stockbridge, GA 30281-5170 - Phone
- (770) 506-4350
- Fax
- (770) 506-9860
- NPI assigned
- Jun 8, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 076235 | GA | Primary |
Addresses
Primary practice location
1240 Eagles Landing Pkwy
Suite 300
Stockbridge, GA 30281-5170
Mailing address
900 Circle 75 Pkwy SE
Suite 1700
Atlanta, GA 30339-3035
Phone (770) 953-6929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Orthoatlanta, LLC | Past | Accepting new patients |
Locations
289 S Culver St
Lawrenceville, GA 30046
Phone (404) 891-9833
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Decatur, GA
- NPI 1992331581
-
- Orthopaedic Surgery Physician
- Aiken, SC
- NPI 1427887157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470700800000",
"number": "1861712259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CIRCLE 75 PKWY SE",
"address_2": "SUITE 1700",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393035",
"telephone_number": "770-953-6929",
"fax_number": "770-953-6972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 EAGLES LANDING PKWY",
"address_2": "SUITE 300",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815170",
"telephone_number": "770-506-4350",
"fax_number": "770-506-9860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YIRENKYI",
"first_name": "HENAKU",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-08",
"last_updated": "2016-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "GA",
"license": "076235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.