NPIMap

Organization Active NPI

RMX Baxley LLC

Doing business as Restor Metabolix of Appling

  • Clinic/Center
  • Baxley, GA
National Provider Identifier
1780347070
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RMX BAXLEY LLC
Doing business as
Restor Metabolix of Appling
Practice address
73 SW Park Ave Ste C
Baxley, GA 31513-0485
Phone
(912) 705-4574
Fax
(912) 310-2383
NPI assigned
Oct 14, 2021
Last updated
Mar 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Randall Crawford, NPNPI 1740678739
Title
Owner
Phone
(912) 339-2342

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

73 SW Park Ave Ste C
Baxley, GA 31513-0485

Mailing address

73 SW Park Ave Ste C
Baxley, GA 31513-0485
Phone (912) 310-2383

Other names 1

  • Restor Metabolix of Appling Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211103001416 GA Part B Supplier - Clinic/Group Practice 1254729650 Receives reassigned benefits from 7 practitioners
Practice locations: Baxley, GA; Brunswick, GA; Warner Robins, GA

National Provider Directory

National Provider Directory

Locations

73 SW Park Ave
Ste C
Baxley, GA 31513
Phone (912) 705-4574

Practitioners & affiliated clinicians

Practitioners 8

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": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1780347070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 SW PARK AVE STE C",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130485",
            "telephone_number": "912-310-2383",
            "fax_number": "912-705-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 SW PARK AVE STE C",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130485",
            "telephone_number": "912-705-4574",
            "fax_number": "912-310-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RMX BAXLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2023-03-27",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-339-2342",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restor Metabolix of Appling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Restor Metabolix of Appling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baxley, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.