CRH PHYSICIAN PRACTICES LLC (NPI# 1760856405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760856405 |
| Entity Type | Organization |
| Organization Name | CRH PHYSICIAN PRACTICES LLC |
| Other Organization Name | CRH PRIMARY CARE |
| Practice Address |
200 Doctors Dr Suite S Douglas GA 31533-2201 |
| Mailing Address |
Po Box 14804 Belfast ME 04915-4043 |
| Practice Telephone | 9123842353 |
| Practice Fax Number | 9123834679 |
| Mailing Telephone | 9123842353 |
| Mailing Fax Number | 9123834679 |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |
| Authorized Official Name | NICOLE BURNAM (ASSISTANT DIRECTOR) |
| Authorized Official Telephone | 9122605379 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CRH Primary Care | 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 |
| 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 |
| 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 |
200 DOCTORS DR SUITE S |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31533-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750374294 | Hemachandran P Nair | Internal Medicine | 200 Doctors Dr, Suite 106, Douglas, GA 31533-2201 | 2005-08-30 |
| 1063832731 | Larissa Davis | Nurse Practitioner | 200 Doctors Dr, Ste 201, Douglas, GA 31533-2201 | 2014-04-22 |
| 1417388687 | Crh Physician Practices, LLC | Psychiatry & Neurology | 200 Doctors Dr, Suite L, Douglas, GA 31533-2201 | 2013-12-12 |
| 1417396342 | Joi Livingston Rogers | Pediatrics | 200 Doctors Dr, Suite 201, Douglas, GA 31533-2201 | 2013-06-25 |
| 1477997278 | Phoebe Family Medicine,coffee County | Clinic/Center | 200 Doctors Dr, Ste 224, Douglas, GA 31533-2201 | 2013-04-23 |
| 1255682142 | Crh Physician Practices LLC | Pediatrics | 200 Doctors Dr, Ste 201, Douglas, GA 31533-2201 | 2012-10-02 |
| 1417207796 | Crh Physician Practices LLC | Urology | 200 Doctors Dr, Ste 220, Douglas, GA 31533-2201 | 2012-09-14 |
| 1427305507 | Debra Sharon Luke | Nurse Practitioner | 200 Doctors Dr, Suite 106, Douglas, GA 31533-2201 | 2012-08-08 |
| 1669745345 | South Georgia Eye Partners PC | Optometrist | 200 Doctors Dr, Suite 290, Douglas, GA 31533-2201 | 2012-02-11 |
| 1467724740 | Costrini & Meadows, PC | Internal Medicine | 200 Doctors Dr, Suite 112, Douglas, GA 31533-2201 | 2012-02-02 |
| Find all providers in the same location | ||||
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568625838 | Diskin G. Morgan Md PC | General Practice | 1020 Ward Street Ext W, Suite D, Douglas, GA 31533-2204 | 2008-07-08 |
| 1154322741 | Panayiotis A Ellinas II | General Practice | 100 E 5th St, Cqch Billing Dept, Douglas, AZ 85607-2859 | 2005-08-03 |
| 1740649623 | Crh Physician Practices, LLC | General Practice | 100 Doctors Dr, Suite G, Douglas, GA 31533-2210 | 2016-02-19 |
| 1700137684 | Crh Physician Practices LLC | General Practice | 100 Doctors Dr, Ste 102, Douglas, GA 31533-2210 | 2012-10-02 |
| 1356496491 | Memorial Hospital of Converse County | General Practice | 111 S 5th St, Douglas, WY 82633-2434 | 2007-01-25 |
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| 1053946004 | Proactive Medical Center | General Practice | 3455 Peachtree Industrial Blvd Ste 910, Duluth, GA 30096-6502 | 2020-03-10 |
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| 1730729849 | Summit Health Primary and Urgent Care LLC | General Practice | 120 Handley Rd Bldg 400 Ste #410, Tyrone, GA 30290-3029 | 2020-01-07 |
| 1770121030 | New Life Medical Centers Georgia LLC | General Practice | 3550 Lenox Rd Ne Ste 2100, Atlanta, GA 30326-1810 | 2019-12-18 |
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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.