Active NPI
Lawrence Eugene Crimmins, MD
- Diagnostic Radiology Physician
- Ormond Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME 61513
- Practice address
- 1801 John Anderson Dr
Ormond Beach, FL 32176-3206 - Phone
- (386) 682-2543
- NPI assigned
- Mar 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME 61513 | FL | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 33062 | GA | |
| General Practice Physician | 208D00000X | ME 61513 | FL | |
| General Practice Physician | 208D00000X | 33062 | GA |
Addresses
Primary practice location
1801 John Anderson Dr
Ormond Beach, FL 32176-3206
Mailing address
1801 John Anderson Dr
Ormond Beach, FL 32176-3206
Phone (386) 682-2543
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Medical College of Georgia School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
302 Cardinal St
Pooler, GA 31322-1707
Phone (480) 306-6949
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 61513 | FL | MD | Diagnostic Radiology Physician |
| 33062 | GA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Physician Group, Inc | Current | Accepting new patients |
Locations
500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
209 N Cuthbert St
Colquitt, GA 39837
Phone (229) 758-3385
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.
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1013960657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489968000000",
"number": "1043279763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 JOHN ANDERSON DR",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321763206",
"telephone_number": "386-682-2543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 JOHN ANDERSON DR",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321763206",
"telephone_number": "386-682-2543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIMMINS",
"first_name": "LAWRENCE",
"middle_name": "EUGENE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2017-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME 61513",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "33062",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME 61513",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "33062",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.