CRH PHYSICIAN PRACTICES LLC (NPI# 1720338916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720338916 |
| Entity Type | Organization |
| Organization Name | CRH PHYSICIAN PRACTICES LLC |
| Practice Address |
2010 Ocilla Rd Douglas GA 31533-2230 |
| Mailing Address |
1100 Ward Street Ext W Douglas GA 31533-1902 |
| Practice Telephone | 9123842500 |
| Practice Fax Number | 9123836788 |
| Mailing Telephone | 9123841477 |
| Mailing Fax Number | 9123841470 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2019-02-01 |
| Authorized Official Name | VICKI LEWIS (CEO) |
| Authorized Official Telephone | 9123841900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CRH Women's Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 804 N Liberty St, Nicholls, GA 31554 | 9123842500 | 9123836788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033582671 | Crh Physician Practices LLC | Obstetrics & Gynecology | 195 E Tollison St Ste A, Suite A & B, Baxley, GA 31513-0174 | 2015-11-04 |
| 1457722720 | Crh Physician Practices LLC | Internal Medicine | 901 Connector 206 N, Douglas, GA 31533-7150 | 2015-10-13 |
| 1346591229 | Crh Physician Practices LLC | Family Medicine | 304 Westside Dr, Douglas, GA 31533-3530 | 2012-10-02 |
| 1801146188 | Crh Physician Practices LLC | Surgery | 1508 Tebeau St, Waycross, GA 31501-5327 | 2012-09-14 |
| 1295095925 | Crh Physician Practices LLC | Clinic/Center | 804 N Liberty St, Nicholls, GA 31554 | 2012-05-29 |
| 1942674684 | Crh Physician Practices LLC | Surgery | 195 E Tollison St Ste A, Suite A & B, Baxley, GA 31513-0174 | 2015-11-18 |
| 1760856405 | Crh Physician Practices LLC | General Practice | 200 Doctors Dr, Suite S, Douglas, GA 31533-2201 | 2015-11-18 |
| 1154794857 | Crh Physician Practices LLC | Surgery | 1405 Alice St, Waycross, GA 31501-4528 | 2015-11-04 |
| 1245678168 | Crh Physician Practices LLC | Family Medicine | 100 Doctors Dr, Ste 101, Douglas, GA 31533-2210 | 2013-06-13 |
| 1366784134 | Crh Physician Practices LLC | Clinic/Center | 903 Ward St W Ste B, Douglas, GA 31533-3536 | 2013-03-20 |
| Street Address |
2010 OCILLA RD |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31533-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447348826 | Bradley Gordon Goldberg | Obstetrics & Gynecology | 2010 Ocilla Rd, Douglas, GA 31533-2230 | 2006-10-10 |
| 1932579273 | Hali Varnedore | Nurse Practitioner | 2010 Ocilla Rd, Douglas, GA 31533-2230 | 2015-09-29 |
| 1689042681 | Cathy Herrington | Nurse Practitioner | 2010 Ocilla Rd, Douglas, GA 31533-2230 | 2015-09-08 |
| 1417295601 | Amanda Bice | Nurse Practitioner | 2010 Ocilla Rd, Douglas, GA 31533-2230 | 2013-01-22 |
| 1073893616 | Justin Peterson | Obstetrics & Gynecology | 2010 Ocilla Rd, Douglas, GA 31533-2230 | 2011-08-26 |
| 1619183340 | Angela Marie Brewer | Nurse Practitioner | 2010 Ocilla Rd, Douglas, GA 31533-2230 | 2007-05-16 |
| 1508938531 | Margaret S. Minchew | Physician Assistant | 2010 Ocilla Rd, Douglas, GA 31533-2230 | 2006-11-14 |
| 1720165947 | Steven Charles Diamond | Obstetrics & Gynecology | 2010 Ocilla Rd, Douglas, GA 31533-2230 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1952940793 | Teresa Smith | Pharmacist | 901 W Ward St, Douglas, GA 31533 | 2019-12-26 |
| 1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
| 1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
| 1063840296 | South Central Primary Care Center | Clinic/Center | 303 Shirley Ave, Ste B, Douglas, GA 31533 | 2013-10-25 |
| 1336411008 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Coweta Avenue South, Douglas, GA 31533 | 2012-01-27 |
| 1346482700 | V and V Clinic | Pediatrics | 1020 West Bryan Street, Douglas, GA 31533 | 2009-04-01 |
| 1063650406 | Jayla Snipes Bullock | Speech-Language Pathologist | 618 Bowens Mill Road Sw, Douglas, GA 31533 | 2009-01-22 |
| 1417112707 | Southern Community Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 315 S. Gaskin Ave, Douglas, GA 31533 | 2008-07-25 |
| Find all providers in zip 31533 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710046073 | Crh Physician Practices, LLC | Clinic/Center | 100 Doctors Dr Ste A, Douglas, GA 31533-2211 | 2006-12-06 |
| 1003315243 | Crh Physician Practices, LLC | Clinic/Center | 1305 Ocilla Rd, Douglas, GA 31533 | 2018-02-02 |
| 1598145476 | Banner Health Physicians West LLC | Clinic/Center | 222 S 5th St, Douglas, WY 82633-2534 | 2015-06-04 |
| 1366784134 | Crh Physician Practices LLC | Clinic/Center | 903 Ward St W Ste B, Douglas, GA 31533-3536 | 2013-03-20 |
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| 1285242024 | Vernu 2 Inc | Clinic/Center | 501 S Main St Ste 201, Alpharetta, GA 30009-1975 | 2020-07-17 |
| 1598373755 | Pediatric Developmental Services | Clinic/Center | 2250 N Druid Hills Rd Ne Ste 265, Atlanta, GA 30329-3141 | 2020-07-14 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1366068728 | Wood Health LLC | Clinic/Center | 310 Gold Creek Trl Ste 100, Woodstock, GA 30188-5436 | 2020-06-22 |
| 1790307924 | Cryogen Plus LLC | Clinic/Center | 1039 Grant St Se Bldg A, Atlanta, GA 30315-2014 | 2020-05-11 |
| 1174154496 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 2305 Abutment Rd, Dalton, GA 30721-4881 | 2020-01-27 |
| 1447881768 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 2225 S Hamilton St, Dalton, GA 30721-4975 | 2020-01-27 |
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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.