P Praxis·MD
● Active Type 2 · Organization

Diabetes Center Of Jesup Llc

Clinic/Center·Jesup, GA· NPI 1780445643 · Enumerated 2024 · 2 years on NPI
Diabetes Center Of Jesup Llc is 1 of 730 clinic/center organizations in Georgia.
NPI age
2 years
Enumerated 2024-01-18
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Crawford
Owner
Last NPPES update
2024-01-22
Source: monthly bulk 2026-05

How this organization compares

Across 730 active clinic/center providers in Georgia.

NPI age
2 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2024 → 2026

2024-01Enumerated in NPPES
2024 2026

Where they practice

Primary practice location
124 Memorial Dr
Jesup, GA 315450101
📞 9127500011fax 8337404346
Mailing address
24 Glendale Ave Ste E
Baxley, GA 315130245
📞 1231023839

Authorized official

Randall Crawford, FNP
Owner
📞 9123392342

Individual providers at this organization

3 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    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...
    taxonomy 261Q00000X

Practice context

Multi-provider organization. 3 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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