| Crh Physician Practices, Llc | |
|
100 Doctors Dr Ste A Douglas GA 31533-2211 | |
| (912) 559-0242 | |
| (912) 838-5677 |
| Full Name | Crh Physician Practices, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Doctors Dr Ste A, Douglas, Georgia |
| Authorized Official Name and Position | Lavonda Cravey (CONTROLLER) |
| Authorized Official Contact | 9123841900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crh Physician Practices, Llc Po Box 14804 Belfast ME 04915-4043 Ph: (912) 384-1477 | Crh Physician Practices, Llc 100 Doctors Dr Ste A Douglas GA 31533-2211 Ph: (912) 559-0242 |
| NPI Number | 1710046073 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 5193727964 |
|---|---|
| Medicare Enrollment ID | O20070207000243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710046073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Timothy A Humphries |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689625162 PECOS PAC ID: 6507857802 Enrollment ID: I20040524000790 |
| Provider Name | Glenn H Evans |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285623744 PECOS PAC ID: 1759339781 Enrollment ID: I20050106000622 |
| Provider Name | William Knopf |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922007541 PECOS PAC ID: 6608831136 Enrollment ID: I20050125000099 |
| Provider Name | Hemachandran P Nair |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750374294 PECOS PAC ID: 6406887033 Enrollment ID: I20050824000105 |
| Provider Name | Willie W Bell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205834181 PECOS PAC ID: 6002718384 Enrollment ID: I20051130000038 |
| Provider Name | Joel W Ferree |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245238211 PECOS PAC ID: 3577465855 Enrollment ID: I20051130000158 |
| Provider Name | William H Davis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497722193 PECOS PAC ID: 8325038235 Enrollment ID: I20060526000139 |
| Provider Name | Steven C Diamond |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720165947 PECOS PAC ID: 1456353226 Enrollment ID: I20070207000255 |
| Provider Name | Bradley G Goldberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447348826 PECOS PAC ID: 5991712028 Enrollment ID: I20070207000260 |
| Provider Name | Lydia C Tanner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790799740 PECOS PAC ID: 0840264701 Enrollment ID: I20080312000353 |
| Provider Name | Jennifer K Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003008475 PECOS PAC ID: 2264501964 Enrollment ID: I20080521000476 |
| Provider Name | Thomas W Wehmann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932280682 PECOS PAC ID: 3678467842 Enrollment ID: I20081029000926 |
| Provider Name | Alfred W Mazur |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255311619 PECOS PAC ID: 0042220451 Enrollment ID: I20081119000426 |
| Provider Name | A Paul Sherlag |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134131204 PECOS PAC ID: 1557434578 Enrollment ID: I20101206000344 |
| Provider Name | Debra Lister |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619041837 PECOS PAC ID: 9032307855 Enrollment ID: I20101221000608 |
| Provider Name | Eric B Anderson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1891741757 PECOS PAC ID: 7315136462 Enrollment ID: I20110105000936 |
| Provider Name | Challori J Reddy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558371807 PECOS PAC ID: 1951560440 Enrollment ID: I20120301000546 |
| Provider Name | Thaihang Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053635078 PECOS PAC ID: 2163665092 Enrollment ID: I20130826000339 |
| Provider Name | Chester Theo Royals |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194974816 PECOS PAC ID: 1254553613 Enrollment ID: I20141119001943 |
| Provider Name | Michelle Martinez Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235508920 PECOS PAC ID: 1557662673 Enrollment ID: I20151215001457 |
| Provider Name | Nancy Danielle Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033586615 PECOS PAC ID: 0042511198 Enrollment ID: I20151215002582 |
| Provider Name | Caitlin B Thomson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689924474 PECOS PAC ID: 0143523506 Enrollment ID: I20160120000247 |
| Provider Name | Keri Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811351554 PECOS PAC ID: 6901198779 Enrollment ID: I20160714002134 |
| Provider Name | Jesse Mckinnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407219314 PECOS PAC ID: 5698069953 Enrollment ID: I20160809001733 |
| Provider Name | Haley Sellers Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942746391 PECOS PAC ID: 2163790429 Enrollment ID: I20170612000223 |
| Provider Name | Kendall Griffith |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1710968060 PECOS PAC ID: 4880582048 Enrollment ID: I20171004002192 |
| Provider Name | Cathy Herrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689042681 PECOS PAC ID: 4981963311 Enrollment ID: I20180110003251 |
| Provider Name | Hali Varnedore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932579273 PECOS PAC ID: 5294094645 Enrollment ID: I20180111000388 |
| Provider Name | Debbie Regina Purvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508371709 PECOS PAC ID: 0042567521 Enrollment ID: I20180716003063 |
| Provider Name | Justin Wayne Peterson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073893616 PECOS PAC ID: 8123324555 Enrollment ID: I20190109002234 |
| Provider Name | Kate E Paylo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447287958 PECOS PAC ID: 6406867183 Enrollment ID: I20190820002797 |
| Provider Name | Marci Mcquaig Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619521820 PECOS PAC ID: 2668703513 Enrollment ID: I20191008002534 |
| Provider Name | Manish K Bansal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811903222 PECOS PAC ID: 2668570078 Enrollment ID: I20200330000617 |
| Provider Name | Candace Rose Musgrove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982239141 PECOS PAC ID: 5395160006 Enrollment ID: I20200728004039 |
| Provider Name | Jacob Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528588142 PECOS PAC ID: 1850639410 Enrollment ID: I20200730000553 |
| Provider Name | Tyler Kabes |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1720433881 PECOS PAC ID: 8527355668 Enrollment ID: I20210713003009 |
| Provider Name | Diana June Tanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841868676 PECOS PAC ID: 1951705995 Enrollment ID: I20210812001618 |
| Provider Name | Carol Renee Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326211152 PECOS PAC ID: 0547666836 Enrollment ID: I20210913001323 |
| Provider Name | Vernon Timothy Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447823190 PECOS PAC ID: 6305244203 Enrollment ID: I20211007000459 |
| Provider Name | Marah Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306439369 PECOS PAC ID: 2264814268 Enrollment ID: I20220808003386 |
| Provider Name | Ann Crummey Hinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760106363 PECOS PAC ID: 5597132464 Enrollment ID: I20221106000082 |
| Provider Name | Sadie P Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568178408 PECOS PAC ID: 6406229236 Enrollment ID: I20230227001040 |
Crh Physician Practices, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-0600 Fax: 912-384-0601 | |
Coffee Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Doctors Dr, Ste 224, Douglas, GA 31533 Phone: 912-384-2353 | |
South Central Primary Care Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 Shirley Ave, Ste B, Douglas, GA 31533 Phone: 912-384-2474 Fax: 912-384-4995 | |
Abigail Miller Family Medicine Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Shirley Ave, Douglas, GA 31533 Phone: 912-384-7300 | |
Douglas Medical Specialist Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Doctors Dr Ste 106, Douglas, GA 31533 Phone: 912-384-3338 Fax: 912-383-6365 | |
Crh Physician Practices Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Doctors Dr, Ste 101, Douglas, GA 31533 Phone: 912-389-1558 Fax: 912-389-1558 | |
Douglas Internal Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Madison Ave S, Douglas, GA 31533 Phone: 912-383-7826 Fax: 912-383-7299 |