CRESCENT CIRCLE INPATIENT SERVICES,LLC — NPI 1285983163 (Licensed & Credentialed Allopathic & Osteopathic Physicians

CMS-1500 Box 24J / 33a • NPI

1285983163

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

208M00000X (CMS C6)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist

Box 32 Service Location & ZIP+4

100 GROSS CRESCENT CIR, FT OGLETHORPE, GA, 30742-3643

✓ 9-Digit EDI 837 ZIP+4 (30742-3643)

Practice Phone & Referral Fax

(706) 585-2000

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1285983163 (CRESCENT CIRCLE INPATIENT SERVICES,LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1285983163` (NPI-2 Organization / Facility)
Provider / Legal Name	CRESCENT CIRCLE INPATIENT SERVICES,LLC
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist NUCC Code: `208M00000X` (Hospitalist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	100 GROSS CRESCENT CIR, FT OGLETHORPE, GA, 30742-3643
Practice Telephone / Fax	Tel: (706) 585-2000
Administrative Mailing Address	18167 US HIGHWAY 19 N, CLEARWATER, FL, 33764-3528
Enumeration & Last Sync	Enumerated: 2012-09-06 \| CMS Record Updated: 2013-07-08
Authorized Official	GREGORY BYRNE (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

100 GROSS CRESCENT CIR, FT OGLETHORPE, GA, 30742-3643

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Plain-English Taxonomy & CMS Crosswalk (208M00000X)

What Does Taxonomy Code 208M00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208M00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code C6 (Physician/Hospitalist)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Hospitalist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CRESCENT CIRCLE INPATIENT SERVICES,LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`208M00000X` — Hospitalist Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CRESCENT CIRCLE INPATIENT SERVICES,LLC (NPI #1285983163)