The Diabetes Center Of Brunswick – Clinic/Center, NPI 1871208629

The Diabetes Center Of Brunswick is a healthcare provider. based in Baxley, Georgia. specializing in Clinic/Center. The NPI Number for The Diabetes Center Of Brunswick is 1871208629

Main info

Organization
Name
The Diabetes Center Of Brunswick
NPI
1871208629
Phone
Not provided
Address
24 GLENDALE AVE STE E
Authorized Official
RANDALL CRAWFORD PRESIDENT APRN
Enumeration Date
17 January 2023
Last Update Date
17 January 2023

Contacts

Main Contact
Sevocity
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness90
Years active:3State licenses:0Updated within 12 months

Provider Addresses for The Diabetes Center Of Brunswick

  • 24 GLENDALE AVE STE E

    BAXLEY, GA 315130245

    Phone:

    Type: Mailing

  • 664 SCRANTON RD STE 107

    BRUNSWICK, GA 315201946

    Phone: (912) 208-5555

    Fax: (912) 208-5557

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-04-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20230425001587OClinic/Group PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31513)

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Reviews

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Frequently asked questions

What unique ID ties claims to The Diabetes Center Of Brunswick?
NPI 1871208629 is assigned to The Diabetes Center Of Brunswick under the national enumeration system.
Is The Diabetes Center Of Brunswick currently active in the NPI registry?
CMS-published data lists The Diabetes Center Of Brunswick as an active registrant.
Does The Diabetes Center Of Brunswick list a primary specialty?
If you are matching referrals, note Clinic/Center for The Diabetes Center Of Brunswick. Clinical services aligned with this taxonomy classification.
What location metadata exists for The Diabetes Center Of Brunswick?
The page summarizes Baxley, Georgia for The Diabetes Center Of Brunswick; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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