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CRISP REGIONAL CONVENIENT CARE
NPI 1376750976
Clinic/Center - Rural Health in Cordele, GA

Active since May 16, 2007CLIA 11D2235401 · Waiver
216 HOSPITAL DR, CORDELE, GA 31015(229) 271-9330(229) 271-9245 Get Directions Write a Review

NPPES record last updated: March 11, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crisp Regional Convenient Care NPPES

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

CRISP REGIONAL CONVENIENT CARE (NPI 1376750976) is a healthcare organization registered as a rural health in Cordele, Georgia and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists James W. Miller, Director Physician Practices, as its authorized official.

NPPES Registry Identity

NPI1376750976
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCRISP REGIONAL HOSPITAL, INC
Location Address216 HOSPITAL DRCordele, GA 31015-3275
Mailing Address216 Hospital DrCordele, GA 31015-3275 · (229) 276-2000 · Fax (229) 276-2184
Phone(229) 271-9330
Fax(229) 271-9245
Organization SubpartYes
Authorized OfficialJames W. MillerDirector Physician Practices · (229) 271-4676
Enumeration DateMay 16, 2007
Last NPPES UpdateMarch 11, 2013
✔ NPI 1376750976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
216 HOSPITAL DR, Cordele, GA 31015
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Other Names 1

Doing Business AsCrisp Regional Convenient Care

Other Identifiers 1

Other11-8907GA · Mcr Ccn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 11D2235401

Crisp Regional Convenient Care Dba Crisp Family Medicine · Cordele, GA
Active · expires Sep 8, 2027
CLIA Number11D2235401
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorCyrenah Lane
Laboratory Phone(229) 271-4659
Laboratory LocationCrisp Regional Convenient Care Dba Crisp Family Medicine216 Hospital Drive, Cordele, GA 31015
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

SUSAN WALLS PHARMD
Pharmacist
216 HOSPITAL DR
CORDELE, GA 31015
Crisp County (229) 276-3384
CHRISTOPHER JAMES MCGINNIS
Pharmacist
216 HOSPITAL DR
CORDELE, GA 31015
Crisp County (229) 276-3384
JUSTIN HAMIL PA-C
Physician Assistant
216 HOSPITAL DR
CORDELE, GA 31015
Crisp County (229) 276-2000
DR. LANSING CHARIS HILLMAN M.D.
Family Medicine
216 HOSPITAL DR
CORDELE, GA 31015
Crisp County (229) 276-2000
ALLISON BROCK
Nurse Practitioner
216 HOSPITAL DR
CORDELE, GA 31015
Crisp County (229) 276-2000
RHONDA G. BAILEY FNP
Nurse Practitioner (Family)
216 HOSPITAL DR
CORDELE, GA 31015
Crisp County (229) 271-9330
JAMIE COUCH FNP
Nurse Practitioner (Family)
216 HOSPITAL DR
CORDELE, GA 31015
Crisp County (229) 276-2000
CRISP REGIONAL HOSPITAL, INC
Pharmacy (Long Term Care Pharmacy)
216 HOSPITAL DR
CORDELE, GA 31015
Crisp County (229) 276-3372

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 1376750976. It was assigned to this organization in the NPPES registry on May 16, 2007. The provider is doing business as Crisp Regional Convenient Care.

Where is Crisp Regional Hospital, Inc located?

Crisp Regional Hospital, Inc is located at 216 Hospital Dr, Cordele, GA 31015. The listed phone number is (229) 271-9330.

What is Crisp Regional Hospital, Inc's specialty?

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

Does Crisp Regional Hospital, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2235401) is associated with this NPI, valid through September 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Crisp Regional Hospital, Inc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Crisp Regional Hospital, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crisp Regional Hospital, Inc was last updated on March 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.