NPIMap

Organization Active NPI

CRH Physician Practices LLC

Doing business as CRH Surgical Group

  • Surgery Physician
  • Waycross, GA
National Provider Identifier
1154794857
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CRH PHYSICIAN PRACTICES LLC
Doing business as
CRH Surgical Group
Practice address
1405 Alice St
Waycross, GA 31501-4528
Phone
(912) 384-5832
Fax
(912) 383-8279
NPI assigned
Nov 4, 2015
Last updated
Nov 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Authorized official

Name
Nicole Burnam
Title
Assistant Director
Phone
(912) 260-5379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

1405 Alice St
Waycross, GA 31501-4528

Mailing address

PO Box 14804
Belfast, ME 04915-4043
Phone (912) 384-5832

Other names 1

  • CRH Surgical Group Doing business as

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

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1154794857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14804",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154043",
            "telephone_number": "912-384-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 ALICE ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014528",
            "telephone_number": "912-384-5832",
            "fax_number": "912-383-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRH PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "912-260-5379"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRH Surgical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waycross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.