NPI age
13 years
Enumerated 2012-09-17
● Active Type 2 · Organization
Subpart
Randall Crum Inc.
Randall Crum Inc. is 1 of 125 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Crum
Director
Last NPPES update
2012-09-17
Source: monthly bulk 2026-05
How this organization compares
Across 125 active clinic/center providers in Georgia.
NPI age
13 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-09Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
130 Canal St, Ste. 601
Pooler, GA 313224085
Mailing address
130 Canal St, Ste. 601
Pooler, GA 313224085
Authorized official
Randall A Crum
Director
📞 9122975141
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Alexander Bannout, DDS Dentist NPI 1255419446
- Danielle Carter Behavior Analyst NPI 1821451709
- Jaime Watkins-Gillham Behavior Analyst NPI 1053606798
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Pooler Sleep Disorder Center
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
Subpart of Randall Crum Inc..
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.