Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ryan Renfro, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1548822455

Ryan Renfro, MD is an Emergency Medicine in Jackson, Michigan. Qualified in 2019, 7 years ago. Practices with Acs Primary Care Physicians - Southeast PC, a 410-clinician group and accepts Medicare assignment. Licensed in Michigan and South Carolina.

Years since qualifying
7
Licensed in
MI, SC
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 205-3994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 89984 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4351045174 (MI)

Record details

NPI number1548822455
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2019
Last updated in NPPESJuly 21, 2023
Certification dateJuly 21, 2023
Mailing address205 N East Ave, Jackson, MI 49201-1753

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Acs Primary Care Physicians - Southeast Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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