Justin Wayne Peterson
CRH PHYSICIAN PRACTICES, LLC


Address: 2010 Ocilla Rd, Douglas, GA 31533-2230
Phone: 9123842500

Justin Wayne Peterson (NPI# 1073893616, PAC ID# 8123324555) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.

Physician Overview

Nation Provider ID (NPI) 1073893616
PAC ID by PECOS 8123324555
Professional Enrollment ID I20190109002234
Full Name Justin Wayne Peterson
Organization Legal Name CRH PHYSICIAN PRACTICES, LLC
Address 2010 Ocilla Rd
Douglas
GA 31533-2230
Phone Number 9123842500
Gender M
Medical School MERCER UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2014
Primary Specialty OBSTETRICS/GYNECOLOGY
Group Practice PAC ID 5193727964
Number of Group Practice Members 29
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110089 COFFEE REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
2010 Ocilla Rd, Douglas, GA 31533-2230 9123842500 CRH PHYSICIAN PRACTICES, LLC

Organization Information

Organization Legal Name CRH PHYSICIAN PRACTICES, LLC
Physicians 32

Physicians with the same organization

Name Specialty Organization Address
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
Chester Theo Royals Jr. General Surgery Crh Physician Practices, LLC 1100 Ward St W Ext, Douglas, GA 31533-1902
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

Office Location

Street Address 2010 OCILLA RD
City DOUGLAS
State GA
Zip 31533-2230

Physicians in the same location

Name Specialty Organization Address
Challori J Reddy Urology Crh Physician Practices, LLC 2010 Ocilla Rd, Douglas, GA 31533-2230
Cathy Herrington Nurse Practitioner Crh Physician Practices, LLC 2010 Ocilla Rd, Douglas, GA 31533-2230
Hali Varnedore Nurse Practitioner Crh Physician Practices, LLC 2010 Ocilla Rd, Douglas, GA 31533-2230

Physicians in the same zip code

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
Thaihang Nguyen Family Medicine Crh Physician Practices, LLC 1100 Ward St W Ext, Douglas, GA 31533-1902
Stephen R Miller Physical Therapy 1150 W Ward St Extension, Suite B1, Douglas, GA 31533-1902
Chester Theo Royals Jr. General Surgery 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
Find all physicians in zip 31533

Competitor

Search similar physicians

City DOUGLAS
Zip Code 31533
Specialty OBSTETRICS/GYNECOLOGY
City + Specialty DOUGLAS + OBSTETRICS/GYNECOLOGY

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Dataset Information

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.

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