Organization Active NPI

James J Crosswell Jr MD PA

  • Family Medicine Physician
  • Beaufort, NC
National Provider Identifier
1003915018
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28568 Issued in NC
Legal business name
JAMES J CROSSWELL JR MD PA
Practice address
97 Campen Road
Beaufort, NC 28516
Phone
(252) 728-3875
Fax
(252) 728-3594
NPI assigned
Sep 22, 2006
Last updated
Jul 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Authorized official

Name
Dr. James Jaquelin Crosswell Jr., MDNPI 1407900673
Title
President
Phone
(252) 728-3875

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28568 NC Primary

Addresses

Primary practice location

97 Campen Road
Beaufort, NC 28516

Mailing address

97 Campen Road
Beaufort, NC 28516
Phone (252) 728-3875

Other identifiers 1

IdentifierTypeStateIssuer
8925970MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031121000205 NC Part B Supplier - Clinic/Group Practice 2466356449 Receives reassigned benefits from 1 practitioner
Practice locations: Beaufort, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0246232James J Crosswell Jr MD PA97 Campen Road PO Drawer 719, Beaufort, NC 28516Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

97 Campen Rd
Beaufort, NC 28516
Phone (252) 728-3875

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1003915018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 CAMPEN ROAD",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "28516",
            "telephone_number": "252-728-3875",
            "fax_number": "252-728-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 CAMPEN ROAD",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "28516",
            "telephone_number": "252-728-3875",
            "fax_number": "252-728-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES J CROSSWELL JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "CROSSWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JAQUELIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-728-3875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "28568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8925970",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.