CRH SURGICAL GROUP - NPI 1154794857 - Surgery in Waycross, GA

Q: What is Crh Physician Practices LLC's NPI number?

The NPI number for Crh Physician Practices LLC is 1154794857. It was assigned to this organization in the NPPES registry on November 4, 2015. The provider is doing business as Crh Surgical Group.

Q: What is Crh Physician Practices LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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About Crh Surgical Group NPPES

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

CRH SURGICAL GROUP (NPI 1154794857) is a healthcare organization registered as a surgery in Waycross, Georgia and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through October 23, 2027 and lists Nicole Burnam, Assistant Director, as its authorized official.

NPPES Registry Identity

NPI1154794857

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameCRH PHYSICIAN PRACTICES LLC

Location Address1405 ALICE STWaycross, GA 31501-4528

Mailing AddressPo Box 14804Belfast, ME 04915-4043 · (912) 384-5832

Phone(912) 384-5832

Fax(912) 383-8279

Organization SubpartNo

Authorized OfficialNicole BurnamAssistant Director · (912) 260-5379

Enumeration DateNovember 4, 2015

✔ NPI 1154794857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1405 ALICE ST, Waycross, GA 31501

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Other Names 1

Doing Business AsCrh Surgical Group

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

CLIA Laboratory Certificates CMS CLIA

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 11D0265294

Crh Surgical Group · Douglas, GA

Active · expires Oct 23, 2027

CLIA Number11D0265294

Laboratory TypePhysician Office

Certificate Effective DateOctober 24, 2025

Certificate Expiration DateOctober 23, 2027

Laboratory DirectorCharles A. Bagwell

Laboratory Phone(912) 384-5832

Laboratory LocationCrh Surgical Group100 Doctors Drive, Suite C, Douglas, GA 31533

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

MEDFAST 2

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