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DR. SHANNON FAY RENFROW M.D.
NPI 1073874608
Obstetrics & Gynecology - Obstetrics in Fot Stewart, GA

Active since May 30, 2012
92.69/100
CMS Quality Rating
1061 HARMON AVE, FOT STEWART, GA 31314(912) 435-6965 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2020, Sep 1, 2020, Feb 10, 2017 (3 updates tracked since 2017).

About Dr. Shannon Fay Renfrow M.d. NPPES

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

DR. SHANNON FAY RENFROW M.D. (NPI 1073874608) is an individual obstetrics provider in Fot Stewart, Georgia, licensed in Indiana (01073408A) and active in the NPI registry since May 2012. She maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1073874608
Entity TypeIndividualFemale
Primary Taxonomy207VX0000X
Provider Legal NameDR. SHANNON FAY RENFROWCredential: M.D.
Location Address1061 HARMON AVEFot Stewart, GA 31314-5641
Mailing AddressPo Box 400Jackson, TN 38302-0400 · (731) 422-0213 · Fax (731) 422-5743
Phone(912) 435-6965
Sole ProprietorNo
Enumeration DateMay 30, 2012
Last NPPES UpdateSeptember 15, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2020
✔ NPI 1073874608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License✔ Licensed in IN · 01073408A
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 61709 (TN)
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 01073408A (IN)
1061 HARMON AVE, Fot Stewart, GA 31314
Open in Google Maps ↗

Secondary Practice Location 1

Location 12863 Highway 45 BypJackson, TN 38305-3618 · Phone (731) 660-8300 · Fax (731) 660-8301

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.39
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

CHERYL ROBINSON RN
Registered Nurse (Continuing Education/Staff Development)
1061 HARMON AVE
FORT STEWART, GA 31314
Liberty County (912) 435-5006
WILLIAM ENGLISH R.N.
Registered Nurse (Case Management)
1061 HARMON AVE
FORT STEWART, GA 31314
Liberty County (912) 435-6628
MS. ALEXANDRA DEANN CHAMBLESS LPN
Licensed Practical Nurse
1061 HARMON AVE
FORT STEWART, GA 31314
Liberty County (912) 435-5774
EDWIN MARTINEZ
Dental Assistant
1061 HARMON AVE
FORT STEWART, GA 31314
Liberty County (912) 767-6174
JALAIGH HUNT LPN
Licensed Practical Nurse
1061 HARMON AVE
FORT STEWART, GA 31314
Liberty County (912) 435-6964
LARIANN S ROSS APRN-BC
Nurse Practitioner (Family)
1061 HARMON AVE, DMC/IMC
FORT STEWART, GA 31314
Liberty County (912) 435-5706
MISS HEIDI NICOLE HILL LISW-S
Social Worker (Clinical)
1061 HARMON AVE
FORT STEWART, GA 31314
Liberty County (912) 435-6633
JACOB TURLEY MILLER PHARMD
Pharmacist
1061 HARMON AVE, STE 1D03
FORT STEWART, GA 31314
Liberty County (912) 435-6933

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 Shannon Renfrow's NPI number?

The NPI number for Shannon Renfrow is 1073874608. It was assigned to this individual provider in the NPPES registry on May 30, 2012.

Where is Shannon Renfrow located?

Shannon Renfrow practices at 1061 Harmon Ave, Fot Stewart, GA 31314. The listed phone number is (912) 435-6965.

What is Shannon Renfrow's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

When was this NPI record last updated?

The NPPES record for Shannon Renfrow was last updated on September 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.