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PHOENIX ORTHO INJURY SPINE AND EXTREMITY SURGERY CENTER
NPI 1033919709
Orthopaedic Surgery in Stone Mountain, GA

Active since March 13, 2025CLIA 11D2315886 · Waiver
1805 PARKE PLAZA CIR STE 103, STONE MOUNTAIN, GA 30087(678) 892-5590(678) 449-0102 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Phoenix Ortho Injury Spine And Extremity Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX ORTHO INJURY SPINE AND EXTREMITY SURGERY CENTER (NPI 1033919709) is a healthcare organization registered as an orthopaedic surgery in Stone Mountain, Georgia and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through December 19, 2026 and lists Rachel Renfro, Asc Director, as its authorized official.

NPPES Registry Identity

NPI1033919709
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NamePHOENIX ORTHO INJURY SPINE AND EXTREMITY SURGERY CENTER
Location Address1805 PARKE PLAZA CIR STE 103Stone Mountain, GA 30087-3646
Mailing Address1805 Parke Plaza Cir Ste 103Stone Mountain, GA 30087-3646 · (678) 892-5590
Phone(678) 892-5590
Fax(678) 449-0102
Organization SubpartNo
Authorized OfficialRachel RenfroAsc Director · (706) 267-0148
Enumeration DateMarch 13, 2025
NPPES CertifiedMarch 13, 2025
✔ NPI 1033919709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1805 PARKE PLAZA CIR STE 103, Stone Mountain, GA 30087
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2315886

Phoenix Ortho Injury Spine And Extremity Surg Ctr · Stone Mountain, GA
Active · expires Dec 19, 2026
CLIA Number11D2315886
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 20, 2024
Certificate Expiration DateDecember 19, 2026
Laboratory DirectorBrett Rosenberg
Laboratory Phone(678) 892-5590
Laboratory LocationPhoenix Ortho Injury Spine And Extremity Surg Ctr1805 Parke Plaza Circle, SW, Ste 103, Stone Mountain, GA 30087
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAURA MCHUGH BARRETT PAC
Physician Assistant
1805 PARKE PLAZA CIR STE 103
STONE MOUNTAIN, GA 30087
Dekalb County (770) 498-9355

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Ortho Injury Spine And Extremity Surgery Center's NPI number?

The NPI number for Phoenix Ortho Injury Spine And Extremity Surgery Center is 1033919709. It was assigned to this organization in the NPPES registry on March 13, 2025.

Where is Phoenix Ortho Injury Spine And Extremity Surgery Center located?

Phoenix Ortho Injury Spine And Extremity Surgery Center is located at 1805 Parke Plaza Cir Ste 103, Stone Mountain, GA 30087. The listed phone number is (678) 892-5590.

What is Phoenix Ortho Injury Spine And Extremity Surgery Center's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Does Phoenix Ortho Injury Spine And Extremity Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2315886) is associated with this NPI, valid through December 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Phoenix Ortho Injury Spine And Extremity Surgery Center was last updated on March 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.