P Praxis·MD
● Active Type 2 · Organization

Crisp Regional Hospital, Inc

Clinic/Center·Cordele, GA· NPI 1457329377 · Enumerated 2006 · 20 years on NPI
Crisp Regional Hospital, Inc is 1 of 563 clinic/center organizations in Georgia.
NPI age
20 years
Enumerated 2006-03-08
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wilder
Internal Auditor
Last NPPES update
2009-06-12
Source: monthly bulk 2026-05

How this organization compares

Across 563 active clinic/center providers in Georgia.

NPI age
20 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-03Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
902 N 7th St
Cordele, GA 310153234
📞 2292763100fax 2292763297
Mailing address
902 N 7th St
Cordele, GA 310153234
📞 2292719686fax 2292719689

Authorized official

Susan Wade Wilder
Internal Auditor
📞 2292763100

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #ESRD001001 taxonomy 261QE0700X

Identifiers

TypeValueNotes
05 (GA) 000431351A

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Crisp Regional Dialysis
    Type code 3 recorded 2009-06-12

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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