Healthie Georgia Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

HEALTHIE GEORGIA INC

Doing business as

HealtHIE Georgia Corporation

Practice address

456 Bull Frog LN
Clayton, GA 30525-4064

Phone

(706) 782-0764

Fax

(706) 782-9837

NPI assigned

Dec 18, 2019

Last updated

Sep 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Renfro

Title

Executive Director

Phone

(904) 382-0925

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HealtHIE Georgia Corporation Doing business as

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1912545153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 BULL FROG LN",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305254064",
            "telephone_number": "706-782-0764",
            "fax_number": "706-782-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 BULL FROG LN",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305254064",
            "telephone_number": "706-782-0764",
            "fax_number": "706-782-9837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 HIGHWAY 441 S",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "GA",
            "postal_code": "305255425",
            "country_code": "US",
            "telephone_number": "706-212-0349",
            "fax_number": "706-212-0351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTHIE GEORGIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "RENFRO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "904-382-0925"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332370125G",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark.renfro@healthiegeorgia.org",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "655 HIGHWAY 441 S",
            "city": "Clayton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305255425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark.renfro@healtHIEgeorgia.org",
            "affiliation": "N",
            "address_1": "456 Bull Frog Ln",
            "city": "Clayton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305254064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HealtHIE Georgia Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy J Gooding, D.C.
• Taylor Grimmett, PA-C
• Rachael Hamilton, LDO
• Cheryl L Harbin, BSN, RN
• Fred Sumner Harris, LCSW
• Healthie Pathways
• Robert Hennen
• Harold Hugh Herring Jr., P.T.A.
• Highlands Internal Medicine, PC
• Matthew Douglas Holland, PTA

• Family Nurse Practitioner in Clayton, GA
• Providers in Clayton, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.