Courtney Tayler Crumpton, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

1465 Laney Walker Blvd # 1040
Augusta, GA 30912-0002

Phone

(706) 721-3448

NPI assigned

Jan 24, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 27, 2023 through Nov 27, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• New Hope Counseling and Wellness Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marietta, GA
  • NPI 1619472248

  Dietitian, Registered

  NPD (past)
• Feed & Flourish Nutrition Therapy, LLC

  • Registered Dietitian
  • Dover, NH
  • NPI 1639766413

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1033749460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST # BA1565",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 LANEY WALKER BLVD # 1040",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120002",
            "telephone_number": "706-721-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMPTON",
        "first_name": "COURTNEY",
        "middle_name": "TAYLER",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crse, Advanced Placement Homes, Inc
• Brooke Allegra Crum, PT, DPT
• An'Tashyza Evelyn Ty'Nea Crump
• Monica Shonea Crumpler, LCSW
• Crumplers Counseling and Consulting Services LLC
• Candice M Cruse, LCSW
• Pamela Suzanne Crutsinger, R.D.
• John William Cruz, D.O.
• CS Health & Wellness of North Carolina, LLC
• CS Health & Wellness of Virginia, LLC

• Registered Dietitian in Augusta, GA
• Providers in Augusta, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.