HEALTHIE GEORGIA INC
NPI 1912545153
Nurse Practitioner - Family in Clayton, GA

Active since December 18, 2019
456 BULL FROG LN, CLAYTON, GA 30525(706) 782-0764(706) 782-9837 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 17, 2025, Aug 4, 2025, Feb 25, 2025 and 2 more (5 updates tracked since 2019).

About Healthie Georgia Inc NPPES

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

HEALTHIE GEORGIA INC (NPI 1912545153), doing business as Healthie Georgia Corporation, is a healthcare organization registered as a family in Clayton, Georgia and active in the NPI registry since December 2019. The organization maintains a secondary practice location in Clayton and lists Mark Renfro, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1912545153
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameHEALTHIE GEORGIA INC
Location Address456 BULL FROG LNClayton, GA 30525-4064
Mailing Address456 Bull Frog LnClayton, GA 30525-4064 · (706) 782-0764 · Fax (706) 782-9837
Fax(706) 782-9837
Organization SubpartNo
Authorized OfficialMark RenfroExecutive Director · (904) 382-0925
Enumeration DateDecember 18, 2019
Last NPPES UpdateSeptember 17, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
NPI 1912545153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
456 BULL FROG LN, Clayton, GA 30525

Other Names 1

Doing Business AsHealthie Georgia Corporation

Secondary Practice Location 1

Location 1655 HIGHWAY 441 SClayton, GA 30525-5425 · Phone (706) 212-0349 · Fax (706) 212-0351

Other Identifiers 1

Medicaid332370125GGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Healthie Georgia Inc's NPI number?

The NPI number for Healthie Georgia Inc is 1912545153. It was assigned to this organization in the NPPES registry on December 18, 2019. The provider is doing business as HealtHIE Georgia Corporation.

Where is Healthie Georgia Inc located?

Healthie Georgia Inc is located at 456 Bull Frog Ln, Clayton, GA 30525. The listed phone number is (706) 782-0764.

What is Healthie Georgia Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Healthie Georgia Inc was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.