Active NPI
Eric Ashley McCraney, CRNP
- Family Nurse Practitioner
- Leakesville, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R863289
- Practice address
- 1017 Jackson Ave
Leakesville, MS 39451-9105 - Phone
- (601) 947-1330
- Fax
- (601) 947-1331
- NPI assigned
- Mar 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-092412 | AL | |
| Family Nurse Practitioner | 363LF0000X | R863289 | MS | Primary |
Addresses
Primary practice location
1017 Jackson Ave
Leakesville, MS 39451-9105
Mailing address
PO Box 1007
Lucedale, MS 39452-1007
Phone (251) 690-8891
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011846 | Other | AL | MEDICARE GROUP NUMBER |
| 05523153 | Medicaid | MS | |
| 1063439065 | Other | AL | NPI SITE GROUP PAYEE NUMBER |
| 630000013 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110119000598 | MS | Practitioner - Nurse Practitioner | 6901085232 | Reassigns benefits to 2 organizations |
| I20170425001550 | AL | Practitioner - Nurse Practitioner | 6901085232 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-092412 | AL | MD | Family Nurse Practitioner |
| R863289 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greene County Family Medical Clinic | Current | Accepting new patients | |
| Mobile Emergency Physicians, LLC | Current | Accepting new patients | |
| George Regional ER Physicians | Current | Accepting new patients |
Locations
6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580
1017 Jackson Ave
Leakesville, MS 39451
Phone (601) 394-2820
859 Winter St
Lucedale, MS 39452
Phone (601) 766-4286
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Lucedale, MS
- NPI 1043690936
MS
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Greene County Family Medical ClinicGeorge Regional ER Physicians
Practice addresses (Care Compare)
1017 Jackson Ave
Leakesville, MS 39451-9105
Phone (601) 394-2820
859 Winter St
Lucedale, MS 39452-6603
Phone (601) 947-1330
Hospital & facility affiliations
- Greene County Hospital
- George Regional Health System
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356566400000",
"number": "1003087289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1007",
"city": "LUCEDALE",
"state": "MS",
"postal_code": "394521007",
"telephone_number": "251-690-8891",
"fax_number": "251-544-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 JACKSON AVE",
"city": "LEAKESVILLE",
"state": "MS",
"postal_code": "394519105",
"telephone_number": "601-947-1330",
"fax_number": "601-947-1331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCRANEY",
"first_name": "ERIC",
"middle_name": "ASHLEY",
"name_prefix": "Mr.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-17",
"last_updated": "2012-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-092412",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R863289",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "011846",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05523153",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI SITE GROUP PAYEE NUMBER",
"identifier": "1063439065",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "630000013",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leakesville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.