Individual provider Active NPI

Renee E Corley, M.D.

  • Family Medicine Physician
  • McDonough, GA
National Provider Identifier
1972605624
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
033302 Issued in GA
Practice address
4303 Jodeco Rd
McDonough, GA 30253-8297
Phone
(770) 898-7840
Fax
(770) 898-7960
NPI assigned
Sep 2, 2006
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 033302 GA Primary

Addresses

Primary practice location

4303 Jodeco Rd
McDonough, GA 30253-8297

Mailing address

4303 Jodeco Rd
McDonough, GA 30253-8297
Phone (770) 898-7840

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040812000296 GA Practitioner - Family Practice 9436121118 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Howard University College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Medical Group, P.C.Group PAC ID 3577559673, 139 clinicians

Practice addresses (Care Compare)

1035 Southcrest Dr
Suite 200
Stockbridge, GA 30281-6116
Phone (770) 442-1911

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
033302GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Corporation Family Medicine CurrentSince Sep 1, 2017 Accepting new patients
Southeast Medical Group, P.C. Family Medicine CurrentSince Apr 26, 2024 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Sep 1, 2017 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Sep 1, 2021 Accepting new patients

Locations

1863 Memorial Dr SE
Atlanta, GA 30317
Phone (404) 616-8880

3896 Princeton Lakes Way SW
Atlanta, GA 30331
Phone (404) 489-4444

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

80 Jesse Hill Jr Dr SE
#88
Atlanta, GA 30303
Phone (404) 616-0879

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

105 Carnegie Pl
Ste 103
Fayetteville, GA 30214
Phone (770) 716-7999

4303 Jodeco Rd
McDonough, GA 30253
Phone (770) 898-7840

1035 Southcrest Dr
Ste 200
Stockbridge, GA 30281
Phone (770) 474-5302

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1972605624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 JODECO RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538297",
            "telephone_number": "770-898-7840",
            "fax_number": "770-898-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 JODECO RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538297",
            "telephone_number": "770-898-7840",
            "fax_number": "770-898-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORLEY",
        "first_name": "RENEE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "033302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.