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ICH PHYSICIAN GROUP
NPI 1023418928
Clinic/Center - Rural Health in Douglas, GA

Active since August 27, 2014
2016 OCILLA RD, DOUGLAS, GA 31533(912) 384-4010(912) 384-4018 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2025, May 31, 2023, Mar 3, 2022 and 2 more (5 updates tracked since 2015).

About Ich Physician Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ICH PHYSICIAN GROUP (NPI 1023418928), doing business as Irwin Surgical Medical, is a healthcare organization registered as a rural health in Douglas, Georgia and active in the NPI registry since August 2014. The organization lists Krystal Carver, Cfo, as its authorized official.

NPPES Registry Identity

NPI1023418928
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameICH PHYSICIAN GROUP
Location Address2016 OCILLA RDDouglas, GA 31533-2230
Mailing Address710 N Irwin AveOcilla, GA 31774-5011 · (229) 468-3800 · Fax (229) 468-9991
Phone(912) 384-4010
Fax(912) 384-4018
Organization SubpartNo
Authorized OfficialKrystal CarverCfo · (229) 468-3846
Enumeration DateAugust 27, 2014
Last NPPES UpdateFebruary 27, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
✔ NPI 1023418928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedSurgeryTaxonomy 208600000X
2016 OCILLA RD, Douglas, GA 31533
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Other Names 2

Doing Business AsIrwin Surgical Medical
Former Legal Business NameIrwin County Hospital Authority

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARSHALL GLYNN TANNER M.D.
Internal Medicine
2016 OCILLA RD
DOUGLAS, GA 31533
Coffee County (912) 384-4010
ASF MEDICAL CENTER INC
Family Medicine
2016 OCILLA RD
DOUGLAS, GA 31533
Coffee County (229) 468-3373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ich Physician Group's NPI number?

The NPI number for Ich Physician Group is 1023418928. It was assigned to this organization in the NPPES registry on August 27, 2014. The provider is doing business as Irwin Surgical Medical. The provider was formerly known as Irwin County Hospital Authority.

Where is Ich Physician Group located?

Ich Physician Group is located at 2016 Ocilla Rd, Douglas, GA 31533. The listed phone number is (912) 384-4010.

What is Ich Physician Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Ich Physician Group was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.