RANDALL CRUM INC. (NPI# 1497006720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497006720 |
| Entity Type | Organization |
| Organization Name | RANDALL CRUM INC. |
| Other Organization Name | THE SLEEP DISORDERS CENTER AT FT. STEWART GEORGIA |
| Practice Address |
790 Veterans Pkwy Suite 112 A-2 Hinesville GA 31313-3915 |
| Mailing Address |
790 Veterans Parkway Suite 112 A-2 Hinesville GA 31310 |
| Practice Telephone | 9123683709 |
| Practice Fax Number | 9123683710 |
| Mailing Telephone | 9123683709 |
| Mailing Fax Number | 9123683710 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |
| Authorized Official Name | MR. RANDALL A CRUM (DIRECTOR) |
| Authorized Official Telephone | 9129275141 |
| Is Organization Subpart | Y |
| Parent Organization Name | RANDALL CRUM, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Sleep Disorders Center at Ft. Stewart Georgia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780934893 | Randall Crum Inc. | Clinic/Center | 130 Canal St, Ste. 601, Pooler, GA 31322-4085 | 2012-09-17 |
| 1174663306 | Randall Crum Inc. | Clinical Medical Laboratory | 11706 Mercy Blvd, Bldg. 4, Savannah, GA 31419-1751 | 2007-02-07 |
| Street Address |
790 VETERANS PKWY SUITE 112 A-2 |
| City | HINESVILLE |
| State | GA |
| Zip Code | 31313-3915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548204126 | Jeffrey T Frey | Physician Assistant | 790 Veterans Pkwy, Suite 111, Hinesville, GA 31313-3915 | 2006-06-15 |
| 1225492341 | Optim Orthopedics, LLC | Orthopaedic Surgery | 790 Veterans Pkwy, Suite 111, Hinesville, GA 31313-3915 | 2016-04-06 |
| 1326409442 | Tattnall Hospital Company, LLC | Neurological Surgery | 790 Veterans Pkwy, Suite 111, Hinesville, GA 31313-3915 | 2016-03-17 |
| 1689786865 | John M Adler | Psychologist | 790 Veterans Pkwy, 111, Hinesville, GA 31313-3915 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877469 | Brennan Roger Milbury | Naturopath | 4876 Ga 196 W, Hinesville, GA 31313 | 2020-06-26 |
| 1558982660 | Hinesville Day Spa LLC | Massage Therapist | 951 E G Miles Pkwy, Suite B, Hinesville, GA 31313 | 2020-04-29 |
| 1104459932 | Johnny Roger Terry | Counselor | 115 W Oglethorpe Hwy, Hinesville, GA 31313 | 2020-02-20 |
| 1043875594 | Liberty Regional Medical Center | Pharmacy | 462 Elma G. Miles Parkway, Hinesville, GA 31313 | 2019-05-09 |
| 1730646811 | Jennifer Lee Reffeor | Nurse Practitioner | 109 W Oglethorpe Highway, Hinesville, GA 31313 | 2019-02-26 |
| 1760907968 | Kenya Dominic | Specialist | 445 E.g. Miles Parkway Ste 207, Hinesville, GA 31313 | 2017-08-08 |
| 1902358393 | Tricia Amelung | Nurse Practitioner | 512 South Main St., Suite 1a, Hinesville, GA 31313 | 2016-11-01 |
| 1881065449 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 801-a East General Stewart Way, Hinesville, GA 31313 | 2015-10-08 |
| 1245614916 | Tracey Bazemore | Counselor | 318 S. Wellborn Street, Suite C, Hinesville, GA 31313 | 2015-07-13 |
| 1831592021 | Jennifer Grisnik | Behavioral Analyst | 306 N. Main St., Suite 1a1, Hinesville, GA 31313 | 2014-10-01 |
| Find all providers in zip 31313 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972788081 | Southeast Lung & Critical Care Specialists | Clinic/Center | 447 B. West General Screven Way, Hinesville, GA 31313 | 2008-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259570 | Tusonah Ann Birmingham | Clinic/Center | 7297 Walton Hl, Fairburn, GA 30213-7110 | 2020-09-14 |
| 1336623834 | Proact LLC | Clinic/Center | 6160 Peachtree Dunwoody Rd Ste A103, Sandy Springs, GA 30328-4578 | 2018-09-20 |
| 1003396359 | Nations Sleep Disorder Centers LLC of Gerogia | Clinic/Center | 1202 Hillcrest Pkwy Ste A, Dublin, GA 31021-3053 | 2018-08-16 |
| 1669952917 | Nations Sleep Disorder Centers LLC of Middle Georgia | Clinic/Center | 524 S Houston Lake Rd Ste E200, Warner Robins, GA 31088-9057 | 2018-08-16 |
| 1306358668 | Rss Gary Nelson LLC | Clinic/Center | 11912 Jones Bridge Rd Ste B, Alpharetta, GA 30005-4613 | 2017-10-26 |
| 1306356035 | Tanner Medical Center, Inc | Clinic/Center | 100 Professional Pl Ste 307, Carrollton, GA 30117-3872 | 2017-10-09 |
| 1730626219 | Somnacare LLC | Clinic/Center | 1954 Airport Rd Ste 222, Chamblee, GA 30341-4936 | 2017-01-23 |
| 1225493869 | Usa Sleep Dianostic Mobile Service LLC | Clinic/Center | 233 12th St Ste 910b, Columbus, GA 31901-2462 | 2015-12-28 |
| 1285003350 | Georgia Neurodiagnostics, LLC | Clinic/Center | 3295 River Exchange Dr Ste 561-133, Norcross, GA 30092-4241 | 2015-09-18 |
| 1669812574 | Paladin Sleep Services LLC | Clinic/Center | 167 Highland Park Cir, Brunswick, GA 31523-1161 | 2013-06-25 |
| Find all providers with the same taxonomy | ||||
| City | HINESVILLE |
| Zip Code | 31313 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.