NPIMap

Organization Active NPI

CRH Physician Practices, LLC

  • Multi-Specialty Clinic/Center
  • Douglas, GA
National Provider Identifier
1710046073
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CRH PHYSICIAN PRACTICES, LLC
Practice address
100 Doctors Dr Ste a
Douglas, GA 31533-2211
Phone
(912) 559-0242
Fax
(912) 838-5677
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Lavonda Cravey
Title
Controller
Phone
(912) 384-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

100 Doctors Dr Ste a
Douglas, GA 31533-2211

Mailing address

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

Other practice location 1

200 Doctors Dr Ste S
Douglas, GA 31533-2203
Phone (912) 292-0658

Other practice location 2

200 Doctors Dr Ste K
Douglas, GA 31533-2202
Phone (912) 384-4024

Other practice location 3

100 Doctors Dr Ste C
Douglas, GA 31533-2211
Phone (912) 384-5832

Other practice location 4

200 Doctors Dr Ste L
Douglas, GA 31533-2202
Phone (912) 383-6360

Other practice location 5

200 Doctors Dr Ste 220
Douglas, GA 31533-2203
Phone (912) 384-4030

Other practice location 6

205 Shirley Ave
Douglas, GA 31533-2327
Phone (912) 260-5400

Other practice location 7

901 Connector 206 N
Douglas, GA 31533-7150
Phone (912) 389-6885

Other practice location 8

903 Ward St W Ste B
Douglas, GA 31533-3536
Phone (912) 384-4030

Other practice location 9

103 Parallel Street
Douglas, GA 31519
Phone (912) 359-3869

Other practice location 10

100 Doctors Dr Ste G
Douglas, GA 31533-2211
Phone (912) 384-9898

Other practice location 11

2010 Ocilla Rd
Douglas, GA 31533-2230
Phone (912) 384-2500

Other practice location 12

100 Doctors Dr Ste B
Douglas, GA 31533-2211
Phone (912) 720-9010

Other practice location 13

205 S Wayne St
Alma, GA 31510-2919
Phone (912) 632-5663

Other practice location 14

1305 Ocilla Rd
Douglas, GA 31533-2209
Phone (912) 384-0600

Other practice location 15

1050 Valdosta Hwy
Homerville, GA 31634-9701
Phone (912) 383-6575

Other practice location 16

3374 Greystone Way
Valdosta, GA 31605-1096
Phone (229) 253-1020

Other practice location 17

11 Cross St
Hazlehurst, GA 31539-6427
Phone (912) 699-8000

Other practice location 18

1508 Tebeau St
Waycross, GA 31501-5327
Phone (912) 384-0600

Other practice location 19

200 Doctors Dr Ste P
Douglas, GA 31533-2202
Phone (912) 384-9460

Other practice location 20

2007 Ocilla Rd
Douglas, GA 31533-2229
Phone (912) 384-0162

Other practice location 21

182 Perry House Rd Ste F
Fitzgerald, GA 31750-8714
Phone (912) 384-0600

Other names 1

  • CRH Pain Management Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070207000243 GA Part B Supplier - Clinic/Group Practice 5193727964 Receives reassigned benefits from 53 practitioners
Practice locations: Waycross, GA; Valdosta, GA; Homerville, GA; Hazlehurst, GA; Fitzgerald, GA; Douglas, GA; Alma, GA; Baxley, GA…

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

195 E Tollison St
Ste A
Baxley, GA 31513
Phone (912) 367-5486

200 Doctors Dr
Ste S
Douglas, GA 31533
Phone (912) 292-0658

903 Ward St W
Ste B
Douglas, GA 31533
Phone (912) 384-4111

200 Doctors Dr
Ste P
Douglas, GA 31533
Phone (912) 384-9460

200 Doctors Dr
Ste 220Q
Douglas, GA 31533
Phone (912) 384-4030

200 Doctors Dr
#201P
Douglas, GA 31533
Phone (912) 384-9460

100 Doctors Dr
Ste 100
Douglas, GA 31533

200 Doctors Dr
Ste Q
Douglas, GA 31533
Phone (912) 384-4030

17 Johnson St
Hazlehurst, GA 31539
Phone (478) 738-0099

1724 Old Reynolds St
#A
Waycross, GA 31501

1724A Old Reynolds St
Waycross, GA 31501
Phone (912) 383-6575

Practitioners & affiliated clinicians

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1710046073",
    "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 STE A",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332211",
            "telephone_number": "912-559-0242",
            "fax_number": "912-838-5677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Doctors Dr Ste S",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315332203",
            "country_code": "US",
            "telephone_number": "912-292-0658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Doctors Dr Ste K",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315332202",
            "country_code": "US",
            "telephone_number": "912-384-4024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Doctors Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315332211",
            "country_code": "US",
            "telephone_number": "912-384-5832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Doctors Dr Ste L",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315332202",
            "country_code": "US",
            "telephone_number": "912-383-6360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Doctors Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315332203",
            "country_code": "US",
            "telephone_number": "912-384-4030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Shirley Ave",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315332327",
            "country_code": "US",
            "telephone_number": "912-260-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Connector 206 N",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315337150",
            "country_code": "US",
            "telephone_number": "912-389-6885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "903 Ward St W Ste B",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315333536",
            "country_code": "US",
            "telephone_number": "912-384-4030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Parallel Street",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "31519",
            "country_code": "US",
            "telephone_number": "912-359-3869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Doctors Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315332211",
            "country_code": "US",
            "telephone_number": "912-384-9898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 Ocilla Rd",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315332230",
            "country_code": "US",
            "telephone_number": "912-384-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Doctors Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315332211",
            "country_code": "US",
            "telephone_number": "912-720-9010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 S Wayne St",
            "address_purpose": "LOCATION",
            "city": "Alma",
            "state": "GA",
            "postal_code": "315102919",
            "country_code": "US",
            "telephone_number": "912-632-5663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 Ocilla Rd",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315332209",
            "country_code": "US",
            "telephone_number": "912-384-0600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Valdosta Hwy",
            "address_purpose": "LOCATION",
            "city": "Homerville",
            "state": "GA",
            "postal_code": "316349701",
            "country_code": "US",
            "telephone_number": "912-383-6575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3374 Greystone Way",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316051096",
            "country_code": "US",
            "telephone_number": "229-253-1020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Cross St",
            "address_purpose": "LOCATION",
            "city": "Hazlehurst",
            "state": "GA",
            "postal_code": "315396427",
            "country_code": "US",
            "telephone_number": "912-699-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1508 Tebeau St",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315015327",
            "country_code": "US",
            "telephone_number": "912-384-0600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Doctors Dr Ste P",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315332202",
            "country_code": "US",
            "telephone_number": "912-384-9460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2007 Ocilla Rd",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315332229",
            "country_code": "US",
            "telephone_number": "912-384-0162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "182 Perry House Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Fitzgerald",
            "state": "GA",
            "postal_code": "317508714",
            "country_code": "US",
            "telephone_number": "912-384-0600",
            "fax_number": "912-384-0601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRH PHYSICIAN PRACTICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CRAVEY",
        "authorized_official_first_name": "LAVONDA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "912-384-1900"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRH Pain Management",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CRH Pain Management",
            "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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.