Active NPI
Ich Physician Group
Doing business as Irwin Family Medicine
- Primary Care Clinic/Center
- Ocilla, GA
National Provider Identifier
1245868918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- ICH PHYSICIAN GROUP
- Doing business as
- Irwin Family Medicine
- Practice address
- 361 Cargile Rd
Ocilla, GA 31774-3606 - Phone
- (229) 468-3975
- NPI assigned
- Mar 30, 2020
- Last updated
- Feb 27, 2025
- Organization subpart
- No
NPPES NPI Registry
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary |
Addresses
Primary practice location
361 Cargile Rd
Ocilla, GA 31774-3606
Mailing address
361 Cargile Rd
Ocilla, GA 31774-3606
Phone (229) 468-3975
Other names 1
- Irwin Family Medicine
National Provider Directory
National Provider Directory- Tax ID family
- Ich Physician Group
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Irwin Surgical Medical
- Rural Health Clinic/Center
- Douglas, GA
- NPI 1023418928
Locations
361 Cargile Rd
Ocilla, GA 31774
Phone (229) 468-3975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740614400000",
"number": "1245868918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 CARGILE RD",
"city": "OCILLA",
"state": "GA",
"postal_code": "317743606",
"telephone_number": "229-468-3975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 CARGILE RD",
"city": "OCILLA",
"state": "GA",
"postal_code": "317743606",
"telephone_number": "229-468-3975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ICH PHYSICIAN GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-30",
"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": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Irwin Family Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Irwin Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ocilla, GA
- Julie M Harper, CRNA
- Heart to Heart Arrhythmia and Medical Consultants, LLC
- Hospital Authority of Irwin County (Irwin County Hospital)
- Hospital Authority of Irwin County (Irwin Medical)
- Howard C McMahan MD Irwin Family Medicine Associates
- Ich Physician Group (Irwin Family Medicine)
- Ich Physician Group
- Ich Physician Group (Irwin Surgical Medical)
- Irwin County Anesthesia, Inc.
- Irwin County Board of Education
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.