NPIMap

Organization Active NPI

The Baxley & Appling County Hospital Authority

Doing business as Appling Healthcare Metabolic Clinic

  • Family Nurse Practitioner
  • Baxley, GA
National Provider Identifier
1013505007
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
THE BAXLEY & APPLING COUNTY HOSPITAL AUTHORITY
Doing business as
Appling Healthcare Metabolic Clinic
Practice address
195 E Tollison St
Baxley, GA 31513-0172
Phone
(912) 366-6008
Fax
(912) 705-4195
NPI assigned
Jan 5, 2021
Last updated
Jan 5, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
THE BAXLEY & APPLING COUNTY HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Authorized official

Name
Randall Terry Crawford
Title
Ceo
Phone
(912) 367-9841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

195 E Tollison St
Baxley, GA 31513-0172

Mailing address

PO Box 2070
Baxley, GA 31515-2070
Phone (912) 367-9841

Other names 1

  • Appling Healthcare Metabolic Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Baxley Appling Co18 organizations share this tax ID, including this one
Part of
The Baxley Appling Co

Other organizations with this tax ID 17

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

View all 17

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1013505007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2070",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315152070",
            "telephone_number": "912-367-9841",
            "fax_number": "912-367-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 E TOLLISON ST",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130172",
            "telephone_number": "912-366-6008",
            "fax_number": "912-705-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BAXLEY & APPLING COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE BAXLEY & APPLING COUNTY HOSPITAL AUTHORITY",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-367-9841"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Appling Healthcare Metabolic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baxley, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.