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RESTOR METABOLIX OF BLACKSHEAR
NPI 1174287379
Internal Medicine - Endocrinology, Diabetes & Metabolism in Blackshear, GA

Active since October 25, 2021CLIA 11D2246645 · Waiver
3345 US HIGHWAY 84 STE 102, BLACKSHEAR, GA 31516(912) 208-3581 Get Directions Write a Review

NPPES record last updated: November 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Restor Metabolix Of Blackshear NPPES

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

RESTOR METABOLIX OF BLACKSHEAR (NPI 1174287379) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Blackshear, Georgia and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through December 27, 2027 and lists Randall Crawford, Manager, as its authorized official.

NPPES Registry Identity

NPI1174287379
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameRMX BLACKSHEAR LLC
Location Address3345 US HIGHWAY 84 STE 102Blackshear, GA 31516-2160
Mailing Address3345 Us Highway 84 Ste 102Blackshear, GA 31516-2160 · (912) 208-3581
Phone(912) 208-3581
Organization SubpartNo
Authorized OfficialRandall CrawfordManager · (912) 208-3581
Enumeration DateOctober 25, 2021
Last NPPES UpdateNovember 11, 2022
NPPES CertifiedNovember 11, 2022
✔ NPI 1174287379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedClinic/CenterTaxonomy 261Q00000X
3345 US HIGHWAY 84 STE 102, Blackshear, GA 31516
Open in Google Maps ↗

Other Names 1

Doing Business AsRestor Metabolix Of Blackshear

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 11D2246645

Restor Metabolix Of Blackshear · Blackshear, GA
Active · expires Dec 27, 2027
CLIA Number11D2246645
Laboratory TypePhysician Office
Certificate Effective DateDecember 28, 2025
Certificate Expiration DateDecember 27, 2027
Laboratory DirectorCourtney L. Hayes
Laboratory Phone(912) 208-3581
Laboratory LocationRestor Metabolix Of Blackshear3345 Us Highway 84 West Unit 102, Blackshear, GA 31516
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.

COURTNEY L HAYES FNP
Nurse Practitioner (Family)
3345 US HIGHWAY 84 STE 102
BLACKSHEAR, GA 31516
Pierce County (912) 208-3581
ERIN HODGES NP
Nurse Practitioner (Adult Health)
3345 US HIGHWAY 84 STE 102
BLACKSHEAR, GA 31516
Pierce County (912) 705-4910
MRS. STEPHANIE LYNE CHADWICK FNP
Nurse Practitioner (Family)
3345 US HIGHWAY 84 STE 102
BLACKSHEAR, GA 31516
Pierce County (912) 228-1358
SUSAN DEEN NP
Nurse Practitioner (Gerontology)
3345 US HIGHWAY 84 STE 102
BLACKSHEAR, GA 31516
Pierce County (912) 208-3581
THE BAXLEY & APPLING COUNTY HOSPITAL AUTHORITY
Clinic/Center (Multi-Specialty)
3345 US HIGHWAY 84 STE 102
BLACKSHEAR, GA 31516
Pierce County (912) 705-4910

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 Rmx Blackshear LLC's NPI number?

The NPI number for Rmx Blackshear LLC is 1174287379. It was assigned to this organization in the NPPES registry on October 25, 2021. The provider is doing business as Restor Metabolix Of Blackshear.

Where is Rmx Blackshear LLC located?

Rmx Blackshear LLC is located at 3345 Us Highway 84 Ste 102, Blackshear, GA 31516. The listed phone number is (912) 208-3581.

What is Rmx Blackshear LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Does Rmx Blackshear LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2246645) is associated with this NPI, valid through December 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rmx Blackshear LLC was last updated on November 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.