ICH PHYSICIAN GROUP
NPI 1649670894
Clinic/Center - Rural Health in Willacoochee, GA

Q: What is Ich Physician Group's NPI number?

The NPI number for Ich Physician Group is 1649670894. It was assigned to this organization in the NPPES registry on August 25, 2014. The provider is doing business as Willacoochee Clinic. The provider was formerly known as Irwin County Hospital Authority.

Q: What is Ich Physician Group's specialty?

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

Active since August 25, 2014

134 FLEETWOOD AVE E, WILLACOOCHEE, GA 31650(912) 534-5142(912) 534-6120 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 27, 2025, May 31, 2023, Mar 3, 2022 and 1 more (4 updates tracked since 2022).

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About Ich Physician Group NPPES

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

ICH PHYSICIAN GROUP (NPI 1649670894), doing business as Willacoochee Clinic, is a healthcare organization registered as a rural health in Willacoochee, Georgia and active in the NPI registry since August 2014. The organization lists Krystal Carver, Cfo, as its authorized official.

NPPES Registry Identity

NPI1649670894

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameICH PHYSICIAN GROUP

Location Address134 FLEETWOOD AVE EWillacoochee, GA 31650-2730

Mailing Address710 N Irwin AveOcilla, GA 31774-5011 · (229) 468-3800 · Fax (229) 468-9991

Phone(912) 534-5142

Fax(912) 534-6120

Organization SubpartNo

Authorized OfficialKrystal CarverCfo · (229) 468-3846

Enumeration DateAugust 25, 2014

Last NPPES UpdateFebruary 27, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2025

✔ NPI 1649670894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

Also ListedInternal MedicineTaxonomy 207R00000X

134 FLEETWOOD AVE E, Willacoochee, GA 31650

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Other Names 2

Doing Business AsWillacoochee Clinic

Former Legal Business NameIrwin County Hospital Authority

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

Other Providers at the Same Location NPPES

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

JOHN DAVID ROWE JR. PHYSICIAN ASSISTANT

Physician Assistant

134 FLEETWOOD AVE E
WILLACOOCHEE, GA 31650

Atkinson County (912) 534-5142

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 Ich Physician Group's NPI number?

The NPI number for Ich Physician Group is 1649670894. It was assigned to this organization in the NPPES registry on August 25, 2014. The provider is doing business as Willacoochee Clinic. The provider was formerly known as Irwin County Hospital Authority.

Where is Ich Physician Group located?

Ich Physician Group is located at 134 Fleetwood Ave E, Willacoochee, GA 31650. The listed phone number is (912) 534-5142.

What is Ich Physician Group's specialty?

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

When was this NPI record last updated?

The NPPES record for Ich Physician Group was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.