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CRISP REGIONAL HOSPITAL INC
NPI 1093580359
Orthopaedic Surgery in Cordele, GA

Active since November 16, 2023CLIA Certified · 2 labs
1701 E 16TH AVE, CORDELE, GA 31015(229) 276-2286(229) 276-2289 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crisp Regional Hospital Inc NPPES

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

CRISP REGIONAL HOSPITAL INC (NPI 1093580359) is a healthcare organization registered as an orthopaedic surgery in Cordele, Georgia and active in the NPI registry since November 2023. The organization holds 2 active CLIA laboratory certificates and lists Jessica Yates Carter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1093580359
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameCRISP REGIONAL HOSPITAL INC
Location Address1701 E 16TH AVECordele, GA 31015-5308
Mailing AddressPo Box 531739Atlanta, GA 30353-1739 · (229) 276-3100
Phone(229) 276-2286
Fax(229) 276-2289
Organization SubpartNo
Authorized OfficialJessica Yates CarterCfo · (229) 276-3100
Enumeration DateNovember 16, 2023
NPPES CertifiedNovember 16, 2023
✔ NPI 1093580359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1701 E 16TH AVE, Cordele, GA 31015
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0960820

Crisp Regional Hospital Nursing Services · Cordele, GA
Active · expires May 20, 2027
CLIA Number11D0960820
Laboratory TypeHospital
Certificate Effective DateMay 21, 2025
Certificate Expiration DateMay 20, 2027
Laboratory DirectorApril Dukes
Laboratory Phone(229) 276-3103
Laboratory LocationCrisp Regional Hospital Nursing Services902 North 7th Street, Cordele, GA 31015
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 11D0646027

Crisp Regional Hospital · Cordele, GA
Active · expires Jan 2, 2027
CLIA Number11D0646027
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Harry Latham
Laboratory Phone(912) 276-3335
Laboratory LocationCrisp Regional Hospital902 Seventh Street North, Cordele, GA 31015
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

CRISP REGIONAL HOSPITAL, INC.
Pharmacy (Community/Retail Pharmacy)
1701 E 16TH AVE
CORDELE, GA 31015
Crisp County (229) 947-6700
CRISP REGIONAL HOSPITAL INC
Clinic/Center (Urgent Care)
1701 E 16TH AVE
CORDELE, GA 31015
Crisp County (229) 276-2000

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 Crisp Regional Hospital Inc's NPI number?

The NPI number for Crisp Regional Hospital Inc is 1093580359. It was assigned to this organization in the NPPES registry on November 16, 2023.

Where is Crisp Regional Hospital Inc located?

Crisp Regional Hospital Inc is located at 1701 E 16th Ave, Cordele, GA 31015. The listed phone number is (229) 276-2286.

What is Crisp Regional Hospital Inc's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Does Crisp Regional Hospital Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Crisp Regional Hospital Inc was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.