Organization Active NPI

Rhett K. Rainey, D. O.

Doing business as Cornerstone Sports Medicine and Orthopaedics

  • Orthopaedic Surgery Physician
  • Winder, GA
National Provider Identifier
1881878585
Registry record updated Jan 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
050830 Issued in GA
Legal business name
RHETT K. RAINEY, D. O.
Doing business as
Cornerstone Sports Medicine and Orthopaedics
Practice address
133 W Athens St Ste I
Winder, GA 30680-1785
Phone
(770) 867-2120
Fax
(770) 867-2140
NPI assigned
Dec 18, 2007
Organization subpart
Yes
Parent organization
RHETT K. RAINEY, D.O.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2025

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

Authorized official

Name
Roxanne Roberts
Title
Manager
Phone
(770) 867-2120

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 050830 GA Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

133 W Athens St Ste I
Winder, GA 30680-1785

Mailing address

PO Box 1394
Winder, GA 30680-1394
Phone (770) 867-2120

Other identifiers 1

IdentifierTypeStateIssuer
00935492AMedicaidGA

Other names 1

  • Cornerstone Sports Medicine and Orthopaedics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040422001036 GA Part B Supplier - Clinic/Group Practice 4385630532 Receives reassigned benefits from 1 practitioner
Practice locations: Winder, GA

National Provider Directory

National Provider Directory
Part of
Rhett K Rainey D O

Locations

314 N Broad St
Ste 340
Winder, GA 30680
Phone (770) 867-2120

133 W Athens St
Ste 1
Winder, GA 30680

24 Amherst Dr
Winder, GA 30680
Phone (470) 900-4368

133 W Athens St
Ste I
Winder, GA 30680
Phone (770) 867-2120

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736035200000",
    "number": "1881878585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1394",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306801394",
            "telephone_number": "770-867-2120",
            "fax_number": "770-867-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 W ATHENS ST STE I",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306801785",
            "telephone_number": "770-867-2120",
            "fax_number": "770-867-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHETT K. RAINEY, D. O.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RHETT K. RAINEY, D.O.",
        "enumeration_date": "2007-12-18",
        "last_updated": "2025-01-05",
        "certification_date": "2025-01-05",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-867-2120"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "050830",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00935492A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Sports Medicine and Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winder, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.