RMX Blackshear LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

RMX BLACKSHEAR LLC

Doing business as

Restor Metabolix of Blackshear

Practice address

3345 US Highway 84 Ste 102
Blackshear, GA 31516-2160

Phone

(912) 208-3581

NPI assigned

Oct 25, 2021

Last updated

Nov 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Randall CrawfordNPI 1740678739

Title

Manager

Phone

(912) 208-3581

Specialties & licenses 2

Addresses

Other names 1

• Restor Metabolix of Blackshear Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 8

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.

• Randall Terry Crawford Jr.

  • Family Nurse Practitioner
  • Vidalia, GA
  • NPI 1740678739
  Medicare reassignment Care Compare group NPD Authorized official
• Errol G Graham, M.D.

  • Internal Medicine Physician
  • Baxley, GA
  • NPI 1821081860
  Medicare reassignment Care Compare group NPD
• Stephanie Lyne Chadwick, FNP

  • Family Nurse Practitioner
  • Blackshear, GA
  • NPI 1376135798
  Medicare reassignment NPD
• Susan Deen, NP

  • Gerontology Nurse Practitioner
  • Blackshear, GA
  • NPI 1497536866
  Medicare reassignment NPD
• Cynthia Kaye Holton, NP-C

  • Adult Health Nurse Practitioner
  • Vidalia, GA
  • NPI 1912252792
  Medicare reassignment NPD
• Michael Glenn Moss, MD

  • Internal Medicine Physician
  • Baxley, GA
  • NPI 1851554935

  Endocrinology, Diabetes & Metabolism

  Medicare reassignment NPD
• Rachel Lee Peterson Moss, NP-C

  • Nurse Practitioner
  • Warner Robins, GA
  • NPI 1811302029
  Medicare reassignment NPD
• Courtney L Hayes, FNP

  • Family Nurse Practitioner
  • Blackshear, GA
  • NPI 1043874050
  NPD

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1174287379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 US HIGHWAY 84 STE 102",
            "city": "BLACKSHEAR",
            "state": "GA",
            "postal_code": "315162160",
            "telephone_number": "912-208-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 US HIGHWAY 84 STE 102",
            "city": "BLACKSHEAR",
            "state": "GA",
            "postal_code": "315162160",
            "telephone_number": "912-208-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RMX BLACKSHEAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "912-208-3581"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restor Metabolix of Blackshear",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Restor Metabolix of Blackshear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynette Powers, CCC-SLP
• Jonathon Michael Pryor, LPC, LPCC
• Reliance Sleep Centers of America Inc (Reliance Sleep Center)
• Elizabeth Osburn Riggins, LMT
• RLM (Infinite Wellness)
• Robert Littell Blackshear Family Chiropractic Center PC
• Duane Everett Robert, D.M.D.
• Matthew Shimkus
• Henry Maxwell Silman, PSY.D.
• Jessica Lynn Smith Drury, LDO

• Endocrinology, Diabetes & Metabolism Physician in Blackshear, GA
• Providers in Blackshear, GA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.