CRH PEDIATRIC GROUP
NPI 1255682142
Pediatrics in Douglas, GA

NPI Status: Active since October 02, 2012

Contact Information

200 DOCTORS DR STE P
DOUGLAS, GA
ZIP 31533
Phone: (912) 384-9460
Fax: (912) 393-1239

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  • Organization
  • Pediatrics
  • Accepts Insurance
  • CLIA Number: 11D1083186
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-07-2026

About CRH PEDIATRIC GROUP

This page provides the complete NPI Profile along with additional information for Crh Pediatric Group, a pediatrician established in Douglas, Georgia operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1255682142 assigned on October 2012. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Crh Pediatric Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Crh Pediatric Group. The authorized official of this NPI record is Lavonda Cravey (Vp Of Corporate Revenue Cycle)

NPI
1255682142
Provider Legal Name
CRH PHYSICIAN PRACTICES LLC
Other Organization Name
CRH PEDIATRIC GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
200 DOCTORS DR STE P DOUGLAS, GA 31533
Location Phone
(912) 384-9460
Location Fax
(912) 393-1239
Mailing Address
PO BOX 1377 DOUGLAS, GA 31534
Mailing Phone
(912) 384-1477
Mailing Fax
(912) 393-1239
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-02-2012
Last Update Date
03-30-2022
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A pediatrician like Crh Pediatric Group is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

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

  • SoloCare Bronze EPO HDHP 8050 10004 - EPO
  • SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
  • SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
  • SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
  • SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
  • SoloCare Standard Exp Bronze EPO 10008 - EPO
  • SoloCare Standard Gold EPO 10006 - EPO
  • SoloCare Standard Platinum EPO 10005 - EPO
  • SoloCare Standard Silver EPO 10007 - EPO

*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

LAVONDA CRAVEY

Authorized Official Title
VP OF CORPORATE REVENUE CYCLE
Authorized Official Phone
(912) 384-1900

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
11D1083186
Facility Type
Physician Office
Certificate Effective Date
July 08, 2024
Certificate Expiration Date
July 07, 2026
Laboratory Director
DR. CAROL WILLIAMS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Crh Pediatric Group 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.

Reviews for CRH PEDIATRIC GROUP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255682142
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105128418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 2 + 8 + 4 + 1 + 8 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1255682142 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417335837DR. JENNIFER NICOLE STROUD MD
Individual
Pediatrics200 DOCTORS DR STE P
DOUGLAS, GA 31533
(912) 384-9460
1326211152DR. CAROL RENEE WILLIAMS MD
Individual
Pediatrics200 DOCTORS DR STE P
DOUGLAS, GA 31533
(912) 384-9460

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255682142, enumerated in the NPI registry as an "organization" on October 02, 2012

The provider is located at 200 Doctors Dr Ste P Douglas, Ga 31533 and the phone number is (912) 384-9460

This medical organization specializes in Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 11D1083186 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on October 02, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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