OrganizationActive
Diabetes Center of Jesup LLC
NPI 1780445643 · Clinic/Center · Jesup, GA
Diabetes Center of Jesup LLC is a Clinic/Center organization in Jesup, GA (NPI 1780445643).
Provider details
- NPI number
- 1780445643
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Randall Crawford, Owner(912) 339-2342
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
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
124 Memorial Dr
Jesup, GA 31545-0101
Phone: (912) 750-0011
Fax: (833) 740-4346
Street-level locationGet directions
Mailing address
24 Glendale Ave Ste E
Baxley, GA 31513-0245
Registry dates
- Enumerated
- 2024-01-18
- Last updated
- 2024-01-22
- Certified
- 2024-01-22
Frequently asked questions
- What is Diabetes Center of Jesup LLC's NPI number?
- Diabetes Center of Jesup LLC's National Provider Identifier (NPI) is 1780445643, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Diabetes Center of Jesup LLC?
- Diabetes Center of Jesup LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Diabetes Center of Jesup LLC located?
- Diabetes Center of Jesup LLC's practice location on file with NPPES is 124 Memorial Dr, Jesup, GA 31545-0101.
- What is Diabetes Center of Jesup LLC's phone number?
- The practice phone number listed in the NPPES registry for Diabetes Center of Jesup LLC is (912) 750-0011.
- Who is the authorized official for Diabetes Center of Jesup LLC?
- The authorized official listed on Diabetes Center of Jesup LLC's NPPES record is Randall Crawford, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Diabetes Center of Jesup LLC's NPI active?
- Yes — Diabetes Center of Jesup LLC's NPI (1780445643) is active in the NPPES registry as of the last update on 2024-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.