Chester Theo Royals Jr. (NPI# 1194974816, PAC ID# 1254553613) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1194974816 |
| PAC ID by PECOS | 1254553613 |
| Professional Enrollment ID | I20141119001943 |
| Full Name | Chester Theo Royals Jr. |
| Organization Legal Name | CRH PHYSICIAN PRACTICES, LLC |
| Address |
1100 Ward St W Ext Douglas GA 31533-1902 |
| Phone Number | 9123841470 |
| Gender | M |
| Medical School | MERCER UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 5193727964 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110089 | COFFEE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1100 Ward St W Ext, Douglas, GA 31533-1902 | 9123841470 | CRH PHYSICIAN PRACTICES, LLC |
| 1101 Ocilla Rd, Suite A, Douglas, GA 31533-2207 | 9123840600 | CRH PHYSICIAN PRACTICES, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 41% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 94% |
| Organization Legal Name | CRH PHYSICIAN PRACTICES, LLC |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Wayne Peterson | Obstetrics/gynecology | Crh Physician Practices, LLC | 2010 Ocilla Rd, Douglas, GA 31533-2230 |
| Nancy Danielle Collins | Nurse Practitioner | Crh Physician Practices, LLC | 903 Ward W St B, Douglas, GA 31533-3536 |
| Michelle Martinez Jones | Nurse Practitioner | Crh Physician Practices, LLC | 200 Doctors Dr S, Douglas, GA 31533-2203 |
| Thaihang Nguyen | Family Medicine | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Michal Aimee Edmund | Nurse Practitioner | Crh Physician Practices, LLC | 200 Doctors Dr L, Douglas, GA 31533-2202 |
| Charles Bagwell | General Surgery | Crh Physician Practices, LLC | 100 Doctors Dr C, Douglas, GA 31533-2211 |
| Willie W Bell | Cardiovascular Disease (cardiology) | Crh Physician Practices, LLC | 1101 Ocilla Rd, Suite A, Douglas, GA 31533-2207 |
| Joel W Ferree | Cardiovascular Disease (cardiology) | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Alfred W Mazur | Urology | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Jesse Allen Kane | Obstetrics/gynecology | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Street Address |
1100 WARD ST W EXT |
| City | DOUGLAS |
| State | GA |
| Zip | 31533-1902 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thaihang Nguyen | Family Medicine | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Joel W Ferree | Cardiovascular Disease (cardiology) | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Alfred W Mazur | Urology | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Jesse Allen Kane | Obstetrics/gynecology | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Kimberly E Lott | Physician Assistant | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Amanda Bice | Nurse Practitioner | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Bradley G Goldberg | Obstetrics/gynecology | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Margaret S Minchew | Physician Assistant | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Angela M Brewer | Nurse Practitioner | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Steven C Diamond | Obstetrics/gynecology | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry Randall Sheffield | Chiropractic | 410 Ward E St, Douglas, GA 31533-0001 | |
| Heather Cason Carver | Registered Dietitian Or Nutrition Professional | 204 Gaskin Ave N, Douglas, GA 31533-0400 | |
| Stephen R Miller | Physical Therapy | 1150 W Ward St Extension, Suite B1, Douglas, GA 31533-1902 | |
| Lydia C Tanner | Family Medicine | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Billy E Roberts | Physician Assistant | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Romulo P Navarro | General Surgery | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Joi L Rogers | Pediatric Medicine | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Debra Lister | Emergency Medicine | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Michael D Hoffstetter | Neurology | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Edyn B Mckinnon | Nurse Practitioner | Compassionate Behavioral Health | 408 Shirley Ave, Douglas, GA 31533-2002 |
| Find all physicians in zip 31533 | |||
| City | DOUGLAS |
| Zip Code | 31533 |
| Specialty | GENERAL SURGERY |
| City + Specialty | DOUGLAS + GENERAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.