CRH PHYSICIAN PRACTICES LLC (NPI# 1295095925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295095925 |
| Entity Type | Organization |
| Organization Name | CRH PHYSICIAN PRACTICES LLC |
| Other Organization Name | CRH NICHOLLS CLINIC |
| Practice Address |
804 N Liberty St Nicholls GA 31554 |
| Mailing Address |
1100 Ward Street Ext W Douglas GA 31533-1902 |
| Practice Telephone | 9123844024 |
| Practice Fax Number | 9123844040 |
| Mailing Telephone | 9123841477 |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2018-07-24 |
| 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 Nicholls Clinic | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1255682142 | Crh Physician Practices LLC | Pediatrics | 200 Doctors Dr, Ste 201, Douglas, GA 31533-2201 | 2012-10-02 |
| Street Address |
804 N LIBERTY ST |
| City | NICHOLLS |
| State | GA |
| Zip Code | 31554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083846554 | Ashley Miller | Dentist | 1153 N Liberty St, Nicholls, GA 31554 | 2009-08-18 |
| 1508913278 | Sheila Lynette Taylor | Contractor | 117 Aspen Road, Nicholls, GA 31554 | 2007-01-04 |
| 1457460198 | Nicholls Pharmacy | Pharmacist | 1003 Van Streat Hwy, Nicholls, GA 31554 | 2006-08-29 |
| 1174639959 | Brad M Mobley | Pharmacist | 1003 Van Streat Highway, Nicholls, GA 31554 | 2006-08-22 |
| 1558898882 | Bacon County Health Services, Inc. | General Acute Care Hospital | 1205 Van Streat Hwy, Nicholls, GA 31554 | 2017-05-17 |
| 1760817795 | Healthstat On-site Clinic/milliken Alma | Preventive Medicine | 2410 Ga Highway 32 W, Nicholls, GA 31554-3446 | 2013-09-10 |
| 1922161033 | Myra Sellers | Speech-Language Pathologist | 105 Cherrywood Dr, Nicholls, GA 31554-3505 | 2006-12-19 |
| 1669418711 | Nicholls Clinic | Public Health or Welfare | 806 N Liberty St, Nicholls, GA 31554-4006 | 2006-06-20 |
| 1831568724 | Latasha Nicole Gilliard | Nurse Practitioner | 7171 Nails Rd, Nicholls, GA 31554-4613 | 2015-09-21 |
| 1285677872 | Pamela C. Lee | Nurse Practitioner | 1205 Van Streat Hwy, Nicholls, GA 31554-5025 | 2006-06-13 |
| Find all providers in zip 31554 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 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 |
| 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.