Healthcare Provider Details

I. General information

NPI: 1336025238
Provider Name (Legal Business Name): CRX MEDICAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

189 SADDLEBROOK CV
MADISON MS
39110-6633
US

IV. Provider business mailing address

189 SADDLEBROOK CV
MADISON MS
39110-6633
US

V. Phone/Fax

Practice location:
  • Phone: 662-202-7466
  • Fax:
Mailing address:
  • Phone: 662-202-7466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRIS CAUTHEN
Title or Position: PRESIDENT
Credential: RN
Phone: 662-202-7466