NPIMap

Crisp Regional Hospital Inc

A Medicare group practice based in Cordele, GA: 9 NPIs enrolled under one PECOS associate control ID (PAC ID 5991616336), with 126 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5991616336The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - End-Stage Renal Disease Facility (ESRD), Part A Provider - Home Health Agency, Part A Provider - Hospice, Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part A Provider - Skilled Nursing Facility, Part B Supplier - CL
Enrolled in
GA
Enrollments
11
Group size
65 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
16In 2 places

Enrollment records 11

Enrollment IDStateProvider typeNPI
O20040107000032 GA Part B Supplier - Clinic/Group Practice 1700851649
O20080314000172 GA Part A Provider - Home Health Agency 1376518118
O20080328000596 GA Part A Provider - Hospital 1700851649
O20090610000062 GA Part A Provider - End-Stage Renal Disease Facility (ESRD) 1457329377
O20090609000680 GA Part A Provider - Rural Health Clinic 1790992352
O20090609000657 GA Part A Provider - Skilled Nursing Facility 1396711099
O20090610000093 GA Part A Provider - Hospice 1699740498
O20130205000376 GA Part A Provider - Skilled Nursing Facility 1164855755
O20120806000162 GA Part A Provider - Rural Health Clinic 1376750976
O20120917000261 GA Part A Provider - Hospital 1700851649
O20210330001903 GA Part B Supplier - Mass Immunization (Roster Biller Only) 1679836142

NPIs in this group 9

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 126

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (126) or whom Care Compare lists as members (65).

Sources for this page