CRH PHYSICIAN PRACTICES, LLC (NPI# 1952836504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952836504 |
| Entity Type | Organization |
| Organization Name | CRH PHYSICIAN PRACTICES, LLC |
| Other Organization Name | CRH SURGICAL GROUP-ALMA |
| Practice Address |
204 E 15th St Alma GA 31510-2908 |
| Mailing Address |
Po Box 14804 Belfast ME 04915-4043 |
| Practice Telephone | 9123845832 |
| Practice Fax Number | 9123838279 |
| Mailing Telephone | 9123845832 |
| Mailing Fax Number | 9123838279 |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |
| Authorized Official Name | LAVONDA CRAVEY (CONTROLLER) |
| Authorized Official Telephone | 9123841477 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CRH Surgical Group-Alma | Doing Business As Name - Organization |
| 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 |
| 1306359781 | Crh Physician Practices, LLC | Urology | 2007 Ocilla Rd, Douglas, GA 31533-2229 | 2017-11-08 |
| 1174058721 | Crh Physician Practices, LLC | Obstetrics & Gynecology | 11 Cross St, Hazlehurst, GA 31539-6427 | 2017-04-20 |
| 1669906517 | Crh Physician Practices, LLC | Urology | 205 S Wayne St, Alma, GA 31510-2919 | 2017-04-18 |
| 1245771823 | Crh Physician Practices, LLC | Obstetrics & Gynecology | 11 Cross St, Hazlehurst, GA 31539-6427 | 2017-03-15 |
| 1740649623 | Crh Physician Practices, LLC | General Practice | 100 Doctors Dr, Suite G, Douglas, GA 31533-2210 | 2016-02-19 |
| 1417388687 | Crh Physician Practices, LLC | Psychiatry & Neurology | 200 Doctors Dr, Suite L, Douglas, GA 31533-2201 | 2013-12-12 |
| Street Address |
204 E 15TH ST |
| City | ALMA |
| State | GA |
| Zip Code | 31510-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760433304 | Khaldon A Al Saadi | Surgery | 204 E 15th St, Alma, GA 31510-2908 | 2006-05-16 |
| 1467085217 | Janna Mullis Moody | Nurse Practitioner | 204 E 15th St, Alma, GA 31510-2908 | 2020-02-20 |
| 1558808626 | Sheryl Turner Cox | Nurse Practitioner | 204 E 15th St, Alma, GA 31510-2908 | 2017-01-26 |
| 1518318054 | Neha Kakkar | Internal Medicine | 204 E 15th St, Alma, GA 31510 | 2016-06-27 |
| 1912358755 | Ian Furtado | Family Medicine | 204 E 15th St, Alma, GA 31510-2908 | 2016-06-22 |
| 1093180481 | Kymberly D Anderson | Nurse Practitioner | 204 E 15th St, Alma, GA 31510-2908 | 2015-12-10 |
| 1336560952 | South Georgia Physicians Group, LLC | Surgery | 204 E 15th St, Alma, GA 31510 | 2013-12-27 |
| 1689935306 | South Georgia Primary Care, Inc. | Family Medicine | 204 E 15th St, Alma, GA 31510-2908 | 2012-05-30 |
| 1366769457 | Gabor Kovacs Md, LLC | Specialist | 204 E 15th St, Alma, GA 31510-2908 | 2010-04-28 |
| 1275777971 | Rachel Burke Glass | Pediatrics | 204 E 15th St, Alma, GA 31510-2908 | 2009-04-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693407 | Shepard Therapy Center | Occupational Therapist | 139 Ga Highway 32 Byp, Alma, GA 31510 | 2019-11-13 |
| 1760027320 | Sean Shepard | Physical Therapist | 139 Ga Hwy 32 Bypass, Alma, GA 31510 | 2019-11-07 |
| 1043875586 | Tricare Ambulance Service L.L.C. | Ambulance | 172 Pine Hollow Ln, Alma, GA 31510 | 2019-05-09 |
| 1053806299 | Eva Fedd | Counselor | 901 North Pierce St, Alma, GA 31510 | 2018-06-29 |
| 1730570268 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1041 S Us Highway 1, Alma, GA 31510 | 2015-02-05 |
| 1356475644 | Bacon County Family Medicine, LLC | Family Medicine | 205 South Wayne Street, Alma, GA 31510 | 2007-03-16 |
| 1720124043 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | 1835 W 12th Street, Alma, GA 31510 | 2007-01-30 |
| 1891832952 | Unison Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 123 Quart Douglas Road, Alma, GA 31510 | 2007-01-30 |
| 1992899082 | George Joel Williams Jr. | Dentist | 408 E 16th St, George J Williams Dds, Alma, GA 31510 | 2006-10-03 |
| 1093829343 | Charles E Bagley Mdpc | Family Medicine | 210 E 16th Street, Alma, GA 31510 | 2006-08-17 |
| Find all providers in zip 31510 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760433304 | Khaldon A Al Saadi | Surgery | 204 E 15th St, Alma, GA 31510-2908 | 2006-05-16 |
| 1740261635 | Peter J Bruno | Surgery | 245 E Warwick Dr, Alma, MI 48801-1026 | 2005-11-08 |
| 1831197979 | Jeffrey F Smith | Surgery | 315 E Warwick Dr, Suite #3, Alma, MI 48801-1083 | 2005-07-12 |
| 1336560952 | South Georgia Physicians Group, LLC | Surgery | 204 E 15th St, Alma, GA 31510 | 2013-12-27 |
| 1558575829 | Jeffrey Lawrence Bonacci | Surgery | 315 E Warwick Dr, Ste 3, Alma, MI 48801-1083 | 2007-05-09 |
| 1972548147 | James D Pilkington | Surgery | 315 E Warwick Dr, Ste 3, Alma, MI 48801-1083 | 2006-06-19 |
| 1063411742 | Ernest A Cudjoe | Surgery | 315 E Warwick Dr, # 3, Alma, MI 48801-1083 | 2005-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824857 | Oasis Surgical Assistants LLC | Surgery | 170 Blackberry Run Dr, Dallas, GA 30132-1174 | 2020-08-31 |
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1568087260 | Anthony George Campbell | Surgery | 1475 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-09 |
| 1821613431 | America Stephanie Revere | Surgery | Augusta University Medical Center 1120 15th St, Augusta, GA 30912-0001 | 2020-06-09 |
| 1124653456 | Oasis Surgical Associates LLC | Surgery | 800 Kennesaw Ave Nw Ste 130, Marietta, GA 30060-1052 | 2020-03-06 |
| 1063054237 | Stacey M Lowe | Surgery | 146 Wesleyan Way, Macon, GA 31210-4400 | 2019-10-09 |
| 1356982730 | Quinones & Sanchez LLC | Surgery | 1215 Eagles Landing Pkwy Ste 105, Stockbridge, GA 30281-5084 | 2019-10-07 |
| 1891342135 | Chakita Miesha Allen | Surgery | 24 Halyard Dr, Port Wentworth, GA 31407-9755 | 2019-08-21 |
| 1720631088 | 5am P.C. | Surgery | 475 Hansell St Se, Cairo, GA 39828-3071 | 2019-07-16 |
| 1033779152 | Kathryne Holmes | Surgery | 1120 15th St Rm Bi4076, Augusta, GA 30912-0004 | 2019-06-20 |
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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.