Mr Randall Terry Crawford Jr, | |
101 Harris Industrial Blvd, Suite A, Vidalia, GA 30474-8852 | |
(912) 535-3500 | |
Not Available |
Full Name | Mr Randall Terry Crawford Jr |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 101 Harris Industrial Blvd, Vidalia, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740678739 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN195783 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rmx Baxley Llc | 1254729650 | 3 |
Hormone And Diabetic Infusion Center | 2961875760 | 2 |
Rmx Brunswick Llc | 3779948898 | 2 |
Rmx Blackshear Llc | 4385034461 | 2 |
Entity Name | Montgomery Emergency Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861773764 PECOS PAC ID: 5395918387 Enrollment ID: O20111108000598 |
Entity Name | Rmx Baxley Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780347070 PECOS PAC ID: 1254729650 Enrollment ID: O20211103001416 |
Entity Name | Rmx Blackshear Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174287379 PECOS PAC ID: 4385034461 Enrollment ID: O20211203000832 |
Entity Name | Restore Metabolix Of Vidalia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952062713 PECOS PAC ID: 4789077215 Enrollment ID: O20220206000009 |
Entity Name | Southern Family Walk-in |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568108850 PECOS PAC ID: 8224442231 Enrollment ID: O20220616000151 |
Entity Name | Hormone And Diabetic Infusion Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154042265 PECOS PAC ID: 2961875760 Enrollment ID: O20230227000069 |
Entity Name | Rmx Brunswick Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871208629 PECOS PAC ID: 3779948898 Enrollment ID: O20230425001587 |
Entity Name | Restor Metabolix Of Columbus |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154036929 PECOS PAC ID: 8527424134 Enrollment ID: O20230523002245 |
Entity Name | Restor Metabolix Of Savannah |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578250304 PECOS PAC ID: 2466818927 Enrollment ID: O20230525002380 |
Mailing Address | Practice Location Address |
---|---|
Mr Randall Terry Crawford Jr, Po Box 407, Vidalia, GA 30475-0407 Ph: (912) 537-4986 | Mr Randall Terry Crawford Jr, 101 Harris Industrial Blvd, Suite A, Vidalia, GA 30474-8852 Ph: (912) 535-3500 |
Dana M Avist, APRN, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Adams St, Vidalia, GA 30474 Phone: 912-537-1772 | |
Mrs. Kimberly Thigpen Evans, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 621 East First Street, Unit B, Vidalia, GA 30474 Phone: 478-274-8739 | |
Jessi Erica Woods, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474 Phone: 912-537-9355 | |
Mrs. Morgan Royal Comstock, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3193 E 1st St, Vidalia, GA 30474 Phone: 912-537-8588 | |
Santoria Shamika Felton, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474 Phone: 912-537-9355 | |
Christy L Hartley, CNM/ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1707 Meadows Ln Ste A, Vidalia, GA 30474 Phone: 912-537-1014 Fax: 912-538-0979 | |
Kimberly Rae Warren, MSN, APRN, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2203 Ga Highway 130 W, Vidalia, GA 30474 Phone: 912-245-5491 |