OrganizationActive
Crisp Rgnl Hosp Inc
NPI 1356547145 · Durable Medical Equipment & Medical Supplies · Hawkinsville, GA
Provider details
- NPI number
- 1356547145
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Crisp Regional Hospital Inc
- Organization subpart
- Yes
- Authorized official
- Mark Petermann, Administrator(229) 273-1481
- License
- 10401446 (GA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
440 Industrial Blvd
Hawkinsville, GA 31036
Phone: (478) 783-4988
Fax: (800) 342-7671
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1033
Hawkinsville, GA 31036-7033
Registry dates
- Enumerated
- 2007-06-27
- Last updated
- 2007-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.