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CRISP REGIONAL DIALYSIS
NPI 1457329377
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Cordele, GA

Active since March 08, 2006CLIA 11D0707995 · Waiver
2/5
Overall Rating
902 N 7TH ST, CORDELE, GA 31015(229) 276-3100(229) 276-3297 Get Directions Write a Review

NPPES record last updated: June 12, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crisp Regional Dialysis NPPES

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

CRISP REGIONAL DIALYSIS (NPI 1457329377) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Cordele, Georgia and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Susan Wade Wilder, Internal Auditor, as its authorized official.

NPPES Registry Identity

NPI1457329377
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameCRISP REGIONAL HOSPITAL, INC
Location Address902 N 7TH STCordele, GA 31015-3234
Mailing Address902 N 7th StCordele, GA 31015-3234 · (229) 271-9686 · Fax (229) 271-9689
Phone(229) 276-3100
Fax(229) 276-3297
Organization SubpartNo
Authorized OfficialSusan Wade WilderInternal Auditor · (229) 276-3100
Enumeration DateMarch 8, 2006
Last NPPES UpdateJune 12, 2009
✔ NPI 1457329377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License✔ Licensed in GA · ESRD001001
902 N 7TH ST, Cordele, GA 31015
Open in Google Maps ↗

Other Names 1

Doing Business AsCrisp Regional Dialysis

Other Identifiers 2

Medicare ID-Type Unspecified112317GA · Medicare Provider Number
Medicaid000431351AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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 11D0707995

Crisp Regional Dialysis Facility · Cordele, GA
Active · expires Aug 31, 2026
CLIA Number11D0707995
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSrilatha Nadipineni
Laboratory Phone(229) 273-2151
Laboratory LocationCrisp Regional Dialysis Facility1302 North Fifth Street Ext, Cordele, GA 31015
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Crisp Regional Hospital Dialysis Unit (CMS certification number 112317), from CMS Care Compare.

Crisp Regional Hospital Dialysis Unit

Dialysis facility · Cordele, GA
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipNon-profit
CMS Certification Number112317
ESRD NetworkNetwork 6
Hemodialysis Stations18
Medicare-Certified SinceAugust 30, 1988
Location1302 N 5TH STREET EXTCordele, GA 31015 · Crisp County
Phone(229) 273-2335
Services Offered
In-center hemodialysis

Other Providers at the Same Location NPPES 20

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

MRS. EMILY SELPH KING MS, RD, LD
Dietitian, Registered
902 N 7TH ST
CORDELE, GA 31015
Crisp County (229) 276-3375
BRANDI JEAN NEWMAN
Nurse Practitioner
902 N 7TH ST
CORDELE, GA 31015
Crisp County (229) 276-3100
HARRY S. LATHAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
902 N 7TH ST
CORDELE, GA 31015
Crisp County (229) 276-3342
DEBORAH J CHARLES MD
Radiology (Diagnostic Radiology)
902 N 7TH ST
CORDELE, GA 31015
Crisp County (229) 276-3356
MRS. JENIFER ELAINE TAYLOR FNP
Nurse Practitioner (Family)
902 N 7TH ST
CORDELE, GA 31015
Crisp County (229) 276-3361
MRS. SUSAN LYNN MCCARD FNP
Nurse Practitioner (Family)
902 N 7TH ST
CORDELE, GA 31015
Crisp County (229) 276-3000
DEANNA MATHIS THOMPSON NP-C
Nurse Practitioner (Family)
902 N 7TH ST
CORDELE, GA 31015
Crisp County (229) 276-3100
JACK BRADLEY ROYAL M.D.
Anesthesiology
902 N 7TH ST
CORDELE, GA 31015
Crisp County (229) 276-3100

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 1457329377. It was assigned to this organization in the NPPES registry on March 8, 2006. The provider is doing business as Crisp Regional Dialysis.

Where is Crisp Regional Hospital, Inc located?

Crisp Regional Hospital, Inc is located at 902 N 7th St, Cordele, GA 31015. The listed phone number is (229) 276-3100.

What is Crisp Regional Hospital, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

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

Yes. A Certificate of Waiver (number 11D0707995) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Crisp Regional Hospital, Inc a Medicare-certified dialysis facility?

Yes. Crisp Regional Hospital Dialysis Unit is a Medicare-certified dialysis facility, certified since August 30, 1988.

What quality rating does Crisp Regional Hospital, Inc have?

CMS rates Crisp Regional Hospital Dialysis Unit 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Crisp Regional Hospital, Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer 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 June 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.