Active NPI
CRH
Doing business as Patriot/Choice One
- General Practice Physician
- Fayetteville, GA
National Provider Identifier
1366181208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- CRH
- Doing business as
- Patriot/Choice One
- Practice address
- 1275 Highway 54 W Ste 201
Fayetteville, GA 30214-4538 - Phone
- (678) 688-9685
- Fax
- (770) 626-3791
- NPI assigned
- May 31, 2022
- Organization subpart
- Yes
- Parent organization
- 1437194156
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michele Larkee
- Title
- Billing Lead
- Phone
- (678) 573-9446
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
1275 Highway 54 W Ste 201
Fayetteville, GA 30214-4538
Mailing address
1275 Highway 54 W Ste 201
Fayetteville, GA 30214-4538
Phone (678) 688-9685
Other names 1
- Patriot/Choice One
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gharrison@peachtreemed.com | Direct | |
| Direct Messaging Address | gharrison@peachtreemed.com | Direct |
National Provider Directory
National Provider Directory- Part of
- CRH
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653955200000",
"number": "1366181208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 HIGHWAY 54 W STE 201",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302144538",
"telephone_number": "678-688-9685",
"fax_number": "770-626-3791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 HIGHWAY 54 W STE 201",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302144538",
"telephone_number": "678-688-9685",
"fax_number": "770-626-3791"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "1437194156",
"enumeration_date": "2022-05-31",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A",
"authorized_official_last_name": "LARKEE",
"authorized_official_first_name": "MICHELE",
"authorized_official_title_or_position": "BILLING LEAD",
"authorized_official_telephone_number": "678-573-9446"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gharrison@peachtreemed.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1275 Highway 54 W Ste 201",
"city": "Fayetteville",
"state": "GA",
"country_code": "US",
"postal_code": "302144538",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gharrison@peachtreemed.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Payment poster",
"address_1": "1275 Highway 54 W Ste 201",
"city": "Fayetteville",
"state": "GA",
"country_code": "US",
"postal_code": "302144538",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Patriot/Choice One",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.