Individual provider Active NPI

Crichton Anne Hollingsworth, NP-C

  • Family Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1013359306
Registry record updated Jul 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN171362 Issued in GA
Practice address
1925 Old Peachtree Rd NE
Lawrenceville, GA 30043-2822
Phone
(770) 339-5999
NPI assigned
Jul 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN171362 GA Primary

Addresses

Primary practice location

1925 Old Peachtree Rd NE
Lawrenceville, GA 30043-2822

Mailing address

1925 Old Peachtree Rd NE
Lawrenceville, GA 30043-2822
Phone (770) 339-5999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130816000329 GA Practitioner - Nurse Practitioner 7810139128 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gwinnett Emergency Specialists, LLCGroup PAC ID 0840373619, 50 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (954) 939-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norvin Ona, DO, PC CurrentSince Jul 3, 2013 Accepting new patients
Gwinnett Emergency Specialists, LLC CurrentSince Sep 13, 2018 Accepting new patients
Gwinnett Physician Group, LLC CurrentSince Jan 1, 2020 Accepting new patients
Gwinnett Emergency Specialists Observation Services, LLC CurrentSince Sep 1, 2018 Accepting new patients
Gwinnett Medical Group, Inc Past Accepting new patients

Locations

1925 Old Peachtree Rd NE
Lawrenceville, GA 30043
Phone (770) 339-5999

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

Organizations & group practices 5

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": "1374883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374883200000",
    "number": "1013359306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 OLD PEACHTREE RD NE",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300432822",
            "telephone_number": "770-339-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 OLD PEACHTREE RD NE",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300432822",
            "telephone_number": "770-339-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "CRICHTON",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-27",
        "last_updated": "2013-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN171362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.