NPIMap

Organization Active NPI

CRH Physician Practices LLC

Doing business as Bariatric & Metabolic Center

  • Surgery Physician
  • Douglas, GA
National Provider Identifier
1801146188
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CRH PHYSICIAN PRACTICES LLC
Doing business as
Bariatric & Metabolic Center
CRH Surgical Group
Practice address
100 Doctors Dr Ste C
Douglas, GA 31533-2211
Phone
(912) 384-5832
Fax
(912) 383-8279
NPI assigned
Sep 14, 2012
Last updated
Mar 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Authorized official

Name
Lavonda Cravey
Title
VP of Corporate Revenue Cycle
Phone
(912) 384-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

100 Doctors Dr Ste C
Douglas, GA 31533-2211

Mailing address

PO Box 1377
Douglas, GA 31534-1377
Phone (912) 384-1477

Other practice location 1

1508 Tebeau St
Waycross, GA 31501-5327
Phone (912) 384-5832

Other practice location 2

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

Other names 2

  • Bariatric & Metabolic Center Doing business as
  • CRH Surgical Group Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0265294CRH Surgical Group100 Doctors Drive, Suite C, Douglas, GA 31533Certificate of waiverOct 23, 2027
11D2200382Bariatric and Metabolic Center100 Doctors Drive, Suite B, Douglas, GA 31533Certificate of waiverNov 15, 2026

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": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1801146188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1377",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315341377",
            "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 C",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332211",
            "telephone_number": "912-384-5832",
            "fax_number": "912-383-8279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1508 Tebeau St",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315015327",
            "country_code": "US",
            "telephone_number": "912-384-5832",
            "fax_number": "912-383-8279",
            "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",
            "fax_number": "912-720-9011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRH PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "CRAVEY",
        "authorized_official_first_name": "LAVONDA",
        "authorized_official_title_or_position": "VP OF CORPORATE REVENUE CYCLE",
        "authorized_official_telephone_number": "912-384-1900"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bariatric & Metabolic Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CRH Surgical Group",
            "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 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.