NPIMap

Organization Active NPI

Randall Crum Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Pooler, GA
National Provider Identifier
1780934893
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
RANDALL CRUM INC.
Practice address
130 Canal St
Ste. 601
Pooler, GA 31322-4085
Phone
(912) 330-0979
Fax
(912) 330-0739
NPI assigned
Sep 17, 2012
Organization subpart
Yes
Parent organization
RANDALL CRUM INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Authorized official

Name
Randall A Crum
Title
Director
Phone
(912) 297-5141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

130 Canal St
Ste. 601
Pooler, GA 31322-4085

Mailing address

130 Canal St
Ste. 601
Pooler, GA 31322-4085
Phone (912) 330-0979

Other names 1

  • Pooler Sleep Disorder Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Randall a Crum Inc2 organizations share this tax ID, including this one
Part of
Randall a Crum Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1780934893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CANAL ST",
            "address_2": "STE. 601",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224085",
            "telephone_number": "912-330-0979",
            "fax_number": "912-330-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CANAL ST",
            "address_2": "STE. 601",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224085",
            "telephone_number": "912-330-0979",
            "fax_number": "912-330-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL CRUM INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RANDALL CRUM INC.",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "CRUM",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "912-297-5141"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pooler Sleep Disorder Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.