Ich Physician Group

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

ICH PHYSICIAN GROUP

Doing business as

Irwin Surgical Medical

Practice address

2016 Ocilla Rd
Douglas, GA 31533-2230

Phone

(912) 384-4010

Fax

(912) 384-4018

NPI assigned

Aug 27, 2014

Organization subpart

No

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

Authorized official

Name

Krystal Carver

Title

Cfo

Phone

(229) 468-3846

Specialties & licenses 2

Addresses

Other names 2

• Irwin Surgical Medical Doing business as
• IRWIN COUNTY HOSPITAL AUTHORITY Former legal business name

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

CLIA laboratory certificates

Tax ID family

Ich Physician Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Ich Physician Group

  dba Irwin Family Medicine

  • Primary Care Clinic/Center
  • Ocilla, GA
  • NPI 1245868918
  NPD tax ID
• Ich Physician Group

  dba Irwin Surgical Medical

  • Surgery Physician
  • Ocilla, GA
  • NPI 1740680990
  NPD tax ID

Locations

Interoperability endpoints

• Direct secure messaging: concordio.ursal@irwincohosp.gadirect.net

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John David Rowe Jr., PHYSICIAN ASSISTANT

  • Physician Assistant
  • Willacoochee, GA
  • NPI 1891815924
  NPD (past)
• Ashfaq Saiyed, M.D.

  • Internal Medicine Physician
  • Ocilla, GA
  • NPI 1225119407
  NPD (past)

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1023418928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N IRWIN AVE",
            "city": "OCILLA",
            "state": "GA",
            "postal_code": "317745011",
            "telephone_number": "229-468-3800",
            "fax_number": "229-468-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 OCILLA RD",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332230",
            "telephone_number": "912-384-4010",
            "fax_number": "912-384-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICH PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "CARVER",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "229-468-3846"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Irwin Surgical Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Irwin Surgical Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IRWIN COUNTY HOSPITAL AUTHORITY",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Shaista Hussain, M.D.
• Amie Lee Hutcheson
• Lindsay M Hutcheson, M ED CCC/SLP
• Larry Hutchison, D.C.
• I V Care of Middle Georgia Inc (I V Care Options)
• In Home Respiratory Care, Inc.
• Independent Physical Therapy of Ga, LLC
• Nirandr Inthachak, M.D.
• J H Harvey Co LLC (Harveys Supermarket Pharmacy #2373)
• J H Harvey Co LLC (Harveys Supermarket Pharmacy #2306)

• Rural Health Clinic/Center in Douglas, GA
• Providers in Douglas, GA by specialty
• Rural Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.