Crg34ah01 LLC
NPI 1265284574 · Interventional Pain Medicine Physician · Jacksonville, FL
Crg34ah01 LLC is a Interventional Pain Medicine Physician organization in Jacksonville, FL (NPI 1265284574).
Provider details
- NPI number
- 1265284574
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Logan Morris, Manager(904) 503-1065
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Chiropractor111N00000X
Chiropractic Providers
Allopathic & Osteopathic Physicians
- Orthopaedic Trauma Physician207XX0801X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Medicus Spine & Joint
Registry dates
- Enumerated
- 2024-04-02
- Last updated
- 2024-04-02
- Certified
- 2024-04-02
Frequently asked questions
- What is Crg34ah01 LLC's NPI number?
- Crg34ah01 LLC's National Provider Identifier (NPI) is 1265284574, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crg34ah01 LLC?
- Crg34ah01 LLC is classified in the NPPES registry as Interventional Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Crg34ah01 LLC located?
- Crg34ah01 LLC's practice location on file with NPPES is 4540 Southside Blvd Ste 202, Jacksonville, FL 32216-5488.
- What is Crg34ah01 LLC's phone number?
- The practice phone number listed in the NPPES registry for Crg34ah01 LLC is (904) 503-1065.
- Who is the authorized official for Crg34ah01 LLC?
- The authorized official listed on Crg34ah01 LLC's NPPES record is Logan Morris, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crg34ah01 LLC's NPI active?
- Yes — Crg34ah01 LLC's NPI (1265284574) is active in the NPPES registry as of the last update on 2024-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.