CRISP REGIONAL HOSPITAL, INC.
NPI 1487822912
Home Health in Cordele, GA

NPI Status: Active since February 19, 2008

Contact Information

910 N 5TH ST
CORDELE, GA
ZIP 31015
Phone: (229) 271-9686
Fax: (229) 271-9689

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  • Organization
  • Home Health
  • CLIA Number: 11D0707995
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 08-31-2026

About CRISP REGIONAL HOSPITAL, INC.

This page provides the complete NPI Profile along with additional information for Crisp Regional Hospital, Inc., a provider established in Cordele, Georgia operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1487822912 assigned on February 2008. The practitioner's primary taxonomy code is 251E00000X with license number 040R0003 (GA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Lynn Renee Bearden (Dir Rev Int)

NPI
1487822912
Provider Name
CRISP REGIONAL HOSPITAL, INC.
Entity Type
Organization
Location Address
910 N 5TH ST CORDELE, GA 31015
Location Phone
(229) 271-9686
Location Fax
(229) 271-9689
Mailing Address
910 N 5TH ST CORDELE, GA 31015
Mailing Phone
(229) 271-9686
Mailing Fax
(229) 271-9689
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-19-2008
Last Update Date
09-06-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
License No.
040R0003
License State
GA
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LYNN RENEE BEARDEN

Authorized Official Title
DIR REV INT
Authorized Official Phone
(229) 276-3146

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
760967211AMEDICAID (05)GA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D0707995
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
JEFFREY BELL MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Crisp Regional Hospital, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1487822912, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
7
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 8 → 16 → 7 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 6 + 7 + 1 + 6 + 2 + 4 + 9 + 2 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1487822912.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Hospice Care, Community Based
910 N 5TH ST
CORDELE, GA 31015
Internal Medicine
910 N 5TH ST
CORDELE, GA 31015
Internal Medicine (Gastroenterology)
910 N 5TH ST
CORDELE, GA 31015
General Acute Care Hospital (Women)
910 N 5TH ST
CORDELE, GA 31015
Obstetrics & Gynecology
910 N 5TH ST
CORDELE, GA 31015
Obstetrics & Gynecology
910 N 5TH ST
CORDELE, GA 31015
Pain Medicine (Interventional Pain Medicine)
910 N 5TH ST, SUITE D
CORDELE, GA 31015
Orthopaedic Surgery
910 N 5TH ST
CORDELE, GA 31015
Home Health
910 N 5TH ST
CORDELE, GA 31015
Orthopaedic Surgery
910 N 5TH ST
CORDELE, GA 31015
Urology
910 N 5TH ST
CORDELE, GA 31015
Otolaryngology
910 N 5TH ST
CORDELE, GA 31015
Nurse Practitioner (Family)
910 N 5TH ST
CORDELE, GA 31015
Nurse Practitioner (Gerontology)
910 N 5TH ST
CORDELE, GA 31015
Pain Medicine (Interventional Pain Medicine)
910 N 5TH ST, SUITE D
CORDELE, GA 31015

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487822912, enumerated as an "organization" on February 19, 2008.

The provider is located at 910 N 5TH ST CORDELE, GA 31015 and the phone number is (229) 271-9686.

Home Health with taxonomy code 251E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.