NPIMap

Organization Active NPI

CRH Physician Practices, LLC

  • Multi-Specialty Clinic/Center
  • Douglas, GA
National Provider Identifier
1003315243
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CRH PHYSICIAN PRACTICES, LLC
Practice address
1305 Ocilla Rd
Douglas, GA 31533
Phone
(912) 384-0600
Fax
(912) 384-0601
NPI assigned
Feb 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lavonda Cravey
Title
VP of Corporate Revenue Cycle
Phone
(912) 384-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1305 Ocilla Rd
Douglas, GA 31533

Mailing address

PO Box 1377
Douglas, GA 31534-1377

Other practice location 1

3374 Greystone Way
Valdosta, GA 31605-1096
Phone (229) 256-1020

Other practice location 2

1508 Tebeau St
Waycross, GA 31501-5327
Phone (912) 384-0600

Other practice location 3

1050 Valdosta Hwy
Homerville, GA 31634-9701
Phone (912) 383-6575

Other practice location 4

205 S Wayne St
Alma, GA 31510-2919
Phone (912) 384-0600

Other names 1

  • CRH Cardiology Group Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2188245CRH Cardiology Group - Douglas1305 Ocilla Road, Douglas, GA 31533Certificate of waiverJul 14, 2026

National Provider Directory

National Provider Directory
Tax ID family
CRH Physician Practices LLC24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9964/brand/1/csg/1/fhir/r4

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1003315243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1377",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315341377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 OCILLA RD",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "31533",
            "telephone_number": "912-384-0600",
            "fax_number": "912-384-0601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3374 Greystone Way",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316051096",
            "country_code": "US",
            "telephone_number": "229-256-1020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1508 Tebeau St",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315015327",
            "country_code": "US",
            "telephone_number": "912-384-0600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Valdosta Hwy",
            "address_purpose": "LOCATION",
            "city": "Homerville",
            "state": "GA",
            "postal_code": "316349701",
            "country_code": "US",
            "telephone_number": "912-383-6575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 S Wayne St",
            "address_purpose": "LOCATION",
            "city": "Alma",
            "state": "GA",
            "postal_code": "315102919",
            "country_code": "US",
            "telephone_number": "912-384-0600",
            "fax_number": "912-384-0601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRH PHYSICIAN PRACTICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "CRAVEY",
        "authorized_official_first_name": "LAVONDA",
        "authorized_official_title_or_position": "VP OF CORPORATE REVENUE CYCLE",
        "authorized_official_telephone_number": "912-384-1900"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRH Cardiology Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Douglas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.