NPI age
11 years
Enumerated 2014-08-27
● Active Type 2 · Organization
Ich Physician Group
Ich Physician Group is 1 of 181 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Carver
Cfo
Last NPPES update
2025-02-27
Source: monthly bulk 2026-05
How this organization compares
Across 181 active clinic/center providers in Georgia.
NPI age
11 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 35% of peers with subspecialties
NPI lifetime · 2014 → 2026
2014-08Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
2016 Ocilla Rd
Douglas, GA 315332230
Mailing address
710 N Irwin Ave
Ocilla, GA 317745011
Authorized official
Krystal Carver
Cfo
📞 2294683846
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Marshall Tanner, M.D. Internal Medicine NPI 1326031865
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
SurgeryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Other names on file (3)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Irwin Surgical Medical
-
IRWIN COUNTY HOSPITAL AUTHORITY
-
Irwin Surgical Medical
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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