NPIMap

Organization Active NPI

Crisp Regional Hospital Inc

Doing business as Crisp Regional Orthopedics

  • Orthopaedic Surgery Physician
  • Cordele, GA
National Provider Identifier
1093580359
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CRISP REGIONAL HOSPITAL INC
Doing business as
Crisp Regional Orthopedics
Practice address
1701 E 16TH Ave
Cordele, GA 31015-5308
Phone
(229) 276-2286
Fax
(229) 276-2289
NPI assigned
Nov 16, 2023
Last updated
Nov 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Authorized official

Name
Jessica Yates Carter
Title
Cfo
Phone
(229) 276-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1701 E 16TH Ave
Cordele, GA 31015-5308

Mailing address

PO Box 531739
Atlanta, GA 30353-1739
Phone (229) 276-3100

Other names 1

  • Crisp Regional Orthopedics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Surgical Associates22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1093580359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531739",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303531739",
            "telephone_number": "229-276-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E 16TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310155308",
            "telephone_number": "229-276-2286",
            "fax_number": "229-276-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISP REGIONAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "YATES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "229-276-3100"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crisp Regional Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cordele, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.