Crestwyn Health Group, LLC
A Medicare group practice based in Memphis, TN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5799084984), with 12 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5799084984
- Provider type
- Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
- Enrolled in
- TN
- Enrollments
- 2
- Group size
- 6 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20160421001701 | TN | Part A Provider - Hospital | 1952769119 |
| O20200116001853 | TN | Part B Supplier - Clinic/Group Practice | 1417458944 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Crestwyn Health Group, LLC
dba Crestwyn Behavioral Health
- Psychiatry Physician
- Memphis, TN
- NPI 1417458944
-
Crestwyn Health Group, LLC
dba Crestwyn Behavioral Health
- Psychiatric Hospital
- Memphis, TN
- NPI 1952769119
Practice locations
- Memphis, TN2
Clinicians 12
Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (6).
-
Cary Carver
- Psychiatric/Mental Health Nurse Practitioner
- Cordova, TN
- NPI 1871248575
-
Kamauri Fleming
- Psychiatric/Mental Health Nurse Practitioner
- Memphis, TN
- NPI 1548070022
-
Lawanda Glass, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Cleveland, MS
- NPI 1740791722
-
Sara Elsie Gramling Van Scoy, MD
- Psychiatry Physician
- Jonesboro, AR
- NPI 1821160151
-
Nga T. Huynh, MD
- Psychiatry Physician
- Memphis, TN
- NPI 1679716013
-
Cynthia Kelso, FNP
- Family Nurse Practitioner
- Hernando, MS
- NPI 1841879103
-
Alexander Labrador, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Bartlett, TN
- NPI 1528516788
-
Andrew Joseph Pierce, M.D.
- Psychiatry Physician
- Murfreesboro, TN
- NPI 1235578717
-
Michael J Rack, MD
- Psychiatry Physician
- Memphis, TN
- NPI 1639194566
-
Sarah Kotchen Rack, M.D.
- Psychiatry Physician
- Memphis, TN
- NPI 1588605463
-
Juana Adkins Reese, NP-C
- Nurse Practitioner
- Collierville, TN
- NPI 1760401426
-
Sharon Lawanda Tipler
- Psychiatric/Mental Health Nurse Practitioner
- Hickory, NC
- NPI 1538832712
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.