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DIABETES CENTER OF JESUP LLC
NPI 1780445643
Clinic/Center in Jesup, GA

Active since January 18, 2024
124 MEMORIAL DR, JESUP, GA 31545(912) 750-0011(833) 740-4346 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diabetes Center Of Jesup Llc NPPES

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

DIABETES CENTER OF JESUP LLC (NPI 1780445643) is a healthcare organization registered as a clinic/center in Jesup, Georgia and active in the NPI registry since January 2024. The organization lists Randall Crawford, Owner, as its authorized official.

NPPES Registry Identity

NPI1780445643
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDIABETES CENTER OF JESUP LLC
Location Address124 MEMORIAL DRJesup, GA 31545-0101
Mailing Address24 Glendale Ave Ste EBaxley, GA 31513-0245 · (123) 102-3839
Phone(912) 750-0011
Fax(833) 740-4346
Organization SubpartNo
Authorized OfficialRandall CrawfordOwner · (912) 339-2342
Enumeration DateJanuary 18, 2024
Last NPPES UpdateJanuary 22, 2024
NPPES CertifiedJanuary 22, 2024
✔ NPI 1780445643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
124 MEMORIAL DR, Jesup, GA 31545
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Other Providers at the Same Location NPPES 5

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

KELLY BOYETTE FNP
Nurse Practitioner (Family)
124 MEMORIAL DR
JESUP, GA 31545
Wayne County (912) 427-4413
DR. ROBERT ALLEN PUMPELLY IV MD
Internal Medicine
124 MEMORIAL DR
JESUP, GA 31545
Wayne County (912) 427-4413
ROBERT A PUMPELLY IV MD PC
Internal Medicine
124 MEMORIAL DR
JESUP, GA 31545
Wayne County (912) 427-4413
MPPG, INC.
Surgery (Vascular Surgery)
124 MEMORIAL DR
JESUP, GA 31545
Wayne County (866) 359-8346
MRS. REBECCA WILLIAMS MOROSKY FNP-C
Nurse Practitioner (Family)
124 MEMORIAL DR
JESUP, GA 31545
Wayne County (912) 427-4413

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 Diabetes Center Of Jesup LLC's NPI number?

The NPI number for Diabetes Center Of Jesup LLC is 1780445643. It was assigned to this organization in the NPPES registry on January 18, 2024.

Where is Diabetes Center Of Jesup LLC located?

Diabetes Center Of Jesup LLC is located at 124 Memorial Dr, Jesup, GA 31545. The listed phone number is (912) 750-0011.

What is Diabetes Center Of Jesup LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Diabetes Center Of Jesup LLC was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.