Organization Active NPI

CRH Clinic of Atlanta

  • Surgery Physician
  • Sandy Springs, GA
National Provider Identifier
1518025568
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
BLSS06-633 Issued in GA
Legal business name
CRH CLINIC OF ATLANTA
Practice address
755 Mount Vernon Hwy NE
Suite 350
Sandy Springs, GA 30328-4274
Phone
(404) 943-9579
Fax
(404) 943-9970
NPI assigned
Dec 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Richard Bear
Title
Cfo
Phone
(604) 633-1440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X BLSS06-633 GA Primary

Addresses

Primary practice location

755 Mount Vernon Hwy NE
Suite 350
Sandy Springs, GA 30328-4274

Mailing address

755 Mount Vernon Hwy NE
Suite 350
Sandy Springs, GA 30328-4274
Phone (404) 943-9579

National Provider Directory

National Provider Directory

Locations

755 Mount Vernon Hwy NE
Ste 350
Sandy Springs, GA 30328
Phone (404) 843-3636

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518025568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY NE",
            "address_2": "SUITE 350",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284274",
            "telephone_number": "404-943-9579",
            "fax_number": "404-943-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY NE",
            "address_2": "SUITE 350",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284274",
            "telephone_number": "404-943-9579",
            "fax_number": "404-943-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRH CLINIC OF ATLANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEAR",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "604-633-1440"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "BLSS06-633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.