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Crystal Renee Polite

Physician β€’ Hephzibah, GA

Deactivated NPI 1750785747 Deactivated in NPPES Female Practitioner
Practice location in NPPES

1382 Walton Loop
Hephzibah, GA 308158914

Phone: 7065047115

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of April 18, 2017; the reason is not published. The records below are historical. They do not show whether Crystal Polite currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date October 20, 2014
NPI Deactivation Date April 18, 2017
NPI Active Period 2014 – 2017

Practice Location & Contact Primary Location

Practice Address

1382 Walton Loop

Hephzibah, GA 308158914

Telephone 7065047115
Fax 7067510531
Organization at the Same NPPES Address or Phone
Polite Homes Llc Facility NPI 1720485741

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Hephzibah and Georgia

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Home Health Primary Specialty

NUCC Taxonomy Code: 251E00000X

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated April 18, 2017

NPPES lists this NPI as deactivated as of April 18, 2017; the reason is not published.

βœ…
NPI Profile Active October 20, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 20, 2014

Registered at 1382 WALTON LOOP, HEPHZIBAH, GA 308158914 (Tel: 7065047115)

πŸ“
Business Mailing Address (Initial Record) October 20, 2014

Registered at 1382 WALTON LOOP, HEPHZIBAH, GA 308158914 (Tel: 7065047115)

πŸ‘€
Provider Name / Credentials (Initial Record) October 20, 2014

Recorded as CRYSTAL POLITE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2014

Home Health

🟒
Initial NPI Registration & Enumeration October 20, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1750785747
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2014
Last Update: October 20, 2014
Deactivation Date: April 18, 2017

Mailing Address

1382 Walton Loop

Hephzibah, GA 308158914

Phone: 7065047115

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.