NPIMap

Organization Active NPI

Crawford Long Hospital

  • Community/Retail Pharmacy
  • Atlanta, GA
National Provider Identifier
1033582531
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE001069 Issued in GA
Legal business name
CRAWFORD LONG HOSPITAL
Practice address
550 Peachtree St NE
Atlanta, GA 30308-2208
Phone
(404) 686-2422
NPI assigned
Nov 5, 2015
Organization subpart
Yes
Parent organization
EMORY UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Authorized official

Name
Greg Anderson
Title
Hospital Cfo
Phone
(404) 686-2823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE001069 GA Primary

Addresses

Primary practice location

550 Peachtree St NE
Atlanta, GA 30308-2208

Mailing address

550 Peachtree St NE
Atlanta, GA 30308-2208

Other identifiers 1

IdentifierTypeStateIssuer
003166275AMedicaidGA

Other names 1

  • The Pharmacy at Emory Midtown Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address greg.anderson@emoryhealthcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170516000050 GA DME Supplier - Pharmacy 5890781603 Practice locations: Atlanta, GA
O20200529000146 GA Part B Supplier - Pharmacy 5890781603 Practice locations: Atlanta, GA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Crawford Long Hospital5 organizations share this tax ID, including this one
Part of
Emory Genetics Laborato

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1033582531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082208",
            "telephone_number": "404-686-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORD LONG HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMORY UNIVERSITY",
        "enumeration_date": "2015-11-05",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "HOSPITAL CFO",
        "authorized_official_telephone_number": "404-686-2823"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE001069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003166275A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "greg.anderson@emoryhealthcare.org",
            "affiliation": "N",
            "endpointDescription": "AO",
            "address_1": "550 Peachtree St NE",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303082212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Pharmacy at Emory Midtown",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "The Pharmacy at Emory Midtown",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.