Organization Active NPI

CRH

Doing business as Patriot/Choice One

  • General Practice Physician
  • Fayetteville, GA
National Provider Identifier
1366181208
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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
1437194156As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 31, 2022

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
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.

Verify at the official NPI Registry.