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CRISP GENERAL INTERNAL MEDICINE INC
NPI 1669632014
Clinic/Center - Medical Specialty in Cordele, GA

Active since June 10, 2008
416 E 4TH AVE STE B, CORDELE, GA 31015(229) 273-8501(229) 273-2515 Get Directions Write a Review

NPPES record last updated: June 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crisp General Internal Medicine Inc NPPES

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

CRISP GENERAL INTERNAL MEDICINE INC (NPI 1669632014) is a healthcare organization registered as a medical specialty in Cordele, Georgia and active in the NPI registry since June 2008. The organization lists Kevin Holloway, President, as its authorized official.

NPPES Registry Identity

NPI1669632014
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameCRISP GENERAL INTERNAL MEDICINE INC
Location Address416 E 4TH AVE STE BCordele, GA 31015-3729
Mailing Address1801 Quail RunCordele, GA 31015-2096 · (229) 273-4989
Phone(229) 273-8501
Fax(229) 273-2515
Organization SubpartNo
Authorized OfficialKevin HollowayPresident · (229) 273-4989
Enumeration DateJune 10, 2008
✔ NPI 1669632014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in GA · 060593
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
416 E 4TH AVE STE B, Cordele, GA 31015
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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 General Internal Medicine Inc's NPI number?

The NPI number for Crisp General Internal Medicine Inc is 1669632014. It was assigned to this organization in the NPPES registry on June 10, 2008.

Where is Crisp General Internal Medicine Inc located?

Crisp General Internal Medicine Inc is located at 416 E 4th Ave Ste B, Cordele, GA 31015. The listed phone number is (229) 273-8501.

What is Crisp General Internal Medicine Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Crisp General Internal Medicine Inc was last updated on June 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.