NPIMap

Organization Active NPI

CRH Physician Practices LLC

Doing business as CRH OB/GYN Clinic

  • Obstetrics & Gynecology Physician
  • Douglas, GA
National Provider Identifier
1659622645
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
CRH PHYSICIAN PRACTICES LLC
Doing business as
CRH OB/GYN Clinic
Practice address
100 Doctors Dr
Ste 202
Douglas, GA 31533-2210
Phone
(912) 389-1558
Fax
(912) 389-1558
NPI assigned
Oct 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Authorized official

Name
Vicki Lewis Jr.
Title
Ceo
Phone
(912) 384-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

100 Doctors Dr
Ste 202
Douglas, GA 31533-2210

Mailing address

PO Box 14804
Belfast, ME 04915-4043
Phone (912) 384-1477

Other names 1

  • CRH OB/GYN Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CRH Physician Practices LLC24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1659622645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14804",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154043",
            "telephone_number": "912-384-1477",
            "fax_number": "912-384-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DOCTORS DR",
            "address_2": "STE 202",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332210",
            "telephone_number": "912-389-1558",
            "fax_number": "912-389-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRH PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-384-1900",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRH OB/GYN Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Douglas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.