Individual provider Active NPI

Eric Ashley McCraney, CRNP

  • Family Nurse Practitioner
  • Leakesville, MS
National Provider Identifier
1003087289
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R863289 Issued in MS
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

Updated by the provider on Dec 27, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
011846OtherALMEDICARE GROUP NUMBER
05523153MedicaidMS
1063439065OtherALNPI SITE GROUP PAYEE NUMBER
630000013MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
1-092412ALMDFamily Nurse Practitioner
R863289MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greene County Family Medical Clinic CurrentSince Sep 18, 2010 Accepting new patients
Mobile Emergency Physicians, LLC CurrentSince Feb 1, 2017 Accepting new patients
George Regional ER Physicians CurrentSince Sep 6, 2018 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

  • FHIR API: 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.

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 Clinic 8 clinicians
George Regional ER Physicians 10 clinicians

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 Hospital, Leakesville, MS, CCN 250782
  • George Regional Health System Hospital, Lucedale, MS, CCN 250036

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

Verify at the official NPI Registry.