Individual provider Active NPI

Cristy Rickita McCrobey, FNP-C

  • Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1003616459
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN331675 Issued in GA
Practice address
2700 Parkwood Ave
Chattanooga, TN 37404-1730
Phone
(423) 926-2358
NPI assigned
Mar 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN331675 GA Primary

Addresses

Primary practice location

2700 Parkwood Ave
Chattanooga, TN 37404-1730

Mailing address

145 Roy Ave
Rossville, GA 30741-5906
Phone (423) 475-9693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 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
I20250523002297 TN Practitioner - Nurse Practitioner 2365961133 Reassigns benefits to 2 organizations
I20250529001617 GA Practitioner - Nurse Practitioner 2365961133 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Health Transitions, PLLC CurrentSince May 12, 2025 Accepting new patients
Renuven Aco PLLC CurrentSince Jun 18, 2025 Accepting new patients
Cogent Healthcare of Georgia PC Nurse Practitioner CurrentSince Apr 22, 2025 Accepting new patients
Renuven Health Partners of Georgia PC CurrentSince Apr 22, 2025 Accepting new patients

Locations

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

2403 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (423) 979-5805

1425 McFarland Ave
Rossville, GA 30741
Phone (423) 987-3702

2700 Parkwood Ave
Chattanooga, TN 37404
Phone (423) 242-7123

3209 Bristol Hwy
Johnson City, TN 37601
Phone (423) 282-3311

3107 W Market St
Ste 5
Johnson City, TN 37604
Phone (423) 979-0000

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1003616459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 ROY AVE",
            "city": "ROSSVILLE",
            "state": "GA",
            "postal_code": "307415906",
            "telephone_number": "423-475-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 PARKWOOD AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041730",
            "telephone_number": "423-926-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCROBEY",
        "first_name": "CRISTY",
        "middle_name": "RICKITA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-15",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN331675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.