Individual provider Active NPI

David Walton Crasto Jr., DO

  • Dermatology Physician
  • Biloxi, MS
National Provider Identifier
1043771306
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
36284 Issued in MS
Practice address
1009 Tommy Munro Dr Ste a
Biloxi, MS 39532-2100
Phone
(228) 232-0872
Fax
(228) 232-0874
NPI assigned
Mar 28, 2019
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 36284 MS Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1009 Tommy Munro Dr Ste a
Biloxi, MS 39532-2100

Mailing address

4030 Dogwood Dr
Jackson, MS 39211-6607
Phone (601) 613-7424

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240807004545 GA Practitioner - Dermatology 1355673906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
William Carey University College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aqua Dermatology of Georgia PCGroup PAC ID 6800885757, 56 clinicians

Practice addresses (Care Compare)

835 Cogburn Ave NW
Suite 100
Marietta, GA 30060-1008
Phone (770) 422-5557

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision165
Removal of tissue21
Removal of skin lesions490
Removal of skin cancer34
Skin biopsy155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
36284MSMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Group of Florida, P.a. Dermatology CurrentSince May 8, 2022 Accepting new patients
Dermatopathology Lab of Skin Cancer Specialists, P.C. CurrentSince Jul 1, 2024 Accepting new patients
Aqua Dermatology of Georgia PC Dermatology CurrentSince Jul 1, 2024 Accepting new patients
David B Roy DO PA CurrentSince Aug 20, 2026 Accepting new patients
Dermatology Group of Florida, P.a. Dermatology CurrentSince Oct 31, 2021 Accepting new patients
Pine Belt Dermatology and Skin Cancer Center PastSince Aug 20, 2026 Accepting new patients

Locations

154 S Compass Way
Dania Beach, FL 33004
Phone (843) 347-7111

460 Northside Cherokee Blvd
Ste 410
Canton, GA 30115
Phone (470) 242-0730

2870 Ronald Reagan Blvd
Ste 103
Cumming, GA 30041
Phone (248) 601-4900

835 Cogburn Ave NW
Ste 100
Marietta, GA 30060
Phone (770) 422-5557

835 Cogburn Ave NW
Ste 250
Marietta, GA 30060
Phone (770) 422-8815

5185 Peachtree Pkwy
Ste 240
Peachtree Corners, GA 30092
Phone (470) 242-0716

1357 Hembree Rd
Ste 250
Roswell, GA 30076
Phone (770) 475-7550

1009 Tommy Munro Dr
#A
Biloxi, MS 39532
Phone (228) 232-0872

102 E Hospital Dr
Hattiesburg, MS 39402
Phone (601) 268-5144

201 S Main St
Petal, MS 39465
Phone (601) 336-5626

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1043771306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 DOGWOOD DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392116607",
            "telephone_number": "601-613-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 TOMMY MUNRO DR STE A",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322100",
            "telephone_number": "228-232-0872",
            "fax_number": "228-232-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRASTO",
        "first_name": "DAVID",
        "middle_name": "WALTON",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MS",
            "license": "36284",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.