RANDALL CRUM INC. (NPI# 1780934893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780934893 |
| Entity Type | Organization |
| Organization Name | RANDALL CRUM INC. |
| Other Organization Name | POOLER SLEEP DISORDER CENTER |
| Practice Address |
130 Canal St Ste. 601 Pooler GA 31322-4085 |
| Practice Telephone | 9123300979 |
| Practice Fax Number | 9123300739 |
| Mailing Telephone | 9123300979 |
| Mailing Fax Number | 9123303710 |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |
| Authorized Official Name | RANDALL A CRUM (DIRECTOR) |
| Authorized Official Telephone | 9122975141 |
| 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 |
|---|---|
| Pooler Sleep Disorder Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497006720 | Randall Crum Inc. | Clinic/Center | 790 Veterans Pkwy, Suite 112 A-2, Hinesville, GA 31313-3915 | 2012-09-26 |
| 1174663306 | Randall Crum Inc. | Clinical Medical Laboratory | 11706 Mercy Blvd, Bldg. 4, Savannah, GA 31419-1751 | 2007-02-07 |
| Street Address |
130 CANAL ST STE. 601 |
| City | POOLER |
| State | GA |
| Zip Code | 31322-4085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255419446 | Alexander Bannout | Dentist | 130 Canal St, Suite 204, Pooler, GA 31322-4085 | 2006-11-02 |
| 1821451709 | Danielle Carter | Behavioral Analyst | 130 Canal St, Suite 403, Pooler, GA 31322-4085 | 2016-03-30 |
| 1568857506 | Affinis Hospice, LLC | Hospice Care, Community Based | 130 Canal St, Suite 102 & 103, Pooler, GA 31322-4085 | 2015-04-06 |
| 1316204498 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 130 Canal St, Suite 601, Pooler, GA 31322-4085 | 2012-04-13 |
| 1619249042 | Costrini & Meadows, PC | Internal Medicine | 130 Canal St, Suite 601, Pooler, GA 31322-4085 | 2012-02-01 |
| 1053606798 | Jaime Melinda Watkins-gillham | Behavioral Analyst | 130 Canal St, Building 400, Pooler, GA 31322-4085 | 2011-06-10 |
| 1982917522 | Alexander Bannout Dds, PC | Dentist | 130 Canal St, Suite 204, Pooler, GA 31322-4085 | 2010-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427518745 | Quinate Pharmacy LLC | Pharmacy | 1557 Pooler Pkwy, Suite 400, Pooler, GA 31322 | 2019-03-22 |
| 1396202495 | Rucker Holdings | Durable Medical Equipment & Medical Supplies | 210 Grand Central Blvd, Pooler, GA 31322 | 2019-02-25 |
| 1306301841 | Altamaha Dme, Inc | Durable Medical Equipment & Medical Supplies | 1557 Pooler Parkway, Suite 300, Pooler, GA 31322 | 2019-02-08 |
| 1750859351 | Bombery Chiropractic LLC | Chiropractor | 122 Canal St. Ste 109, Pooler, GA 31322 | 2018-11-13 |
| 1407347891 | Georgia Dental Professionals, PC | Dentist | 2140 Pooler Pkwy, Pooler, GA 31322 | 2018-05-22 |
| 1730685439 | Monali Patel | Optometrist | 276 Pooler Pkwy Ste B, Pooler, GA 31322 | 2018-04-02 |
| 1144747023 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 101 Blue Moon Crossing, Pooler, GA 31322 | 2017-08-23 |
| 1063932408 | The Range Physical Therapy, LLC | Clinic/Center | 10801 County Line Rd, Madison, AL 31322 | 2017-06-27 |
| 1285154427 | Pooler Physical Therapy LLC | Clinic/Center | 101 Shepherd Way, Pooler, GA 31322 | 2017-06-20 |
| 1578009130 | Georgia Cvs Pharmacy L.l.c | Durable Medical Equipment & Medical Supplies | 500 Pooler Pkwy, Pooler, GA 31322 | 2017-01-06 |
| Find all providers in zip 31322 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 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 | ||||
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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.