CRM of Sparta LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CRM OF SPARTA LLC

Doing business as

Providence of Sparta Health and Rehab

Practice address

60 Providence St
Sparta, GA 31087-1601

Phone

(706) 444-5153

NPI assigned

Jun 16, 2016

Last updated

Jun 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael E Winget Sr.

Title

Member

Phone

(478) 994-3669

Specialties & licenses 1

Addresses

Other names 1

• Providence of Sparta Health and Rehab Doing business as

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1831549286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PROVIDENCE ST",
            "city": "SPARTA",
            "state": "GA",
            "postal_code": "310871601",
            "telephone_number": "706-444-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PROVIDENCE ST",
            "city": "SPARTA",
            "state": "GA",
            "postal_code": "310871601",
            "telephone_number": "706-444-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRM OF SPARTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "WINGET",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "478-994-3669",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence of Sparta Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lashonda R. Chapple
• Betsy Janice Colquitt, FNP-C
• Community Health Care Systems, Inc
• Community Health Care Systems, Inc. (Tricounty Health System-Sparta)
• County of Hancock Health Department
• Edge of Hope LLC
• Shawn Marie Edgington, LPC, LCDC
• Johnesia Evans, PHLEBOTOMIST
• Family Practice & Surgery LLC
• Family Practice & Surgery LLC

• Skilled Nursing Facility in Sparta, GA
• Providers in Sparta, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.