Crg34ah01 LLC
Crg34ah01 LLC is a healthcare organization registered as Interventional Pain Medicine Physician in Jacksonville, FL, holding Type 2 (organization) NPI 1265284574 since 2024. The authorized official on file is Logan Morris, Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1265284574 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Crg34ah01 LLC |
| Practice address | 4540 SOUTHSIDE BLVD STE 202, Jacksonville, FL, 32216 |
| Phone | 9045031065 |
| Fax | 9043746075 |
| Enumeration date | 2024-04-02 |
| Last updated in NPPES | 2024-04-02 |
Authorized official
| Name | Logan Morris |
|---|---|
| Title | Manager |
| Phone | 9045031065 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 111N00000X | Chiropractor | Secondary | — | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | Secondary | — | — |
| 207XX0801X | Orthopaedic Trauma Physician | Secondary | — | — |
| 2084P0301X | Brain Injury Medicine (Psychiatry & Neurology) Physician | Secondary | — | — |
| 363L00000X | Nurse Practitioner | Secondary | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: Crg34ah01 LLC NPI: 1265284574 Taxonomy: 208VP0014X (Interventional Pain Medicine Physician) Address: 4540 SOUTHSIDE BLVD STE 202, Jacksonville, FL, 32216
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1942733985 | Lyudmila Brown | Individual | Orthopaedic Trauma Physician | Jacksonville, FL |
Verify this record
Cross-check NPI 1265284574 against the authoritative CMS record: view Crg34ah01 LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Crg34ah01 LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-04-02.