Individual provider Active NPI

Crystal Rice, NP

  • Family Nurse Practitioner
  • Jasper, GA
National Provider Identifier
1053844878
Registry record updated May 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN233239 Issued in GA
Practice address
80A Interstate South Dr
Jasper, GA 30143-6226
Phone
(770) 345-6600
Fax
(770) 345-6611
NPI assigned
Apr 7, 2017
Last updated
May 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2026

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 RN233239 GA Primary

Addresses

Primary practice location

80A Interstate South Dr
Jasper, GA 30143-6226

Mailing address

215 Riverstone Dr
Canton, GA 30114-5256
Phone (770) 345-6600

Other practice location 1

215 Riverstone Dr
Canton, GA 30114-5256
Phone (770) 281-4487

Other identifiers 3

IdentifierTypeStateIssuer
Q060576MedicaidTN
003189302AMedicaidGA
003189302BMedicaidGA

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
I20170707000699 GA Practitioner - Nurse Practitioner 3375812381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear, Nose, and Throat Specialist- Cherokee Sinus CenterGroup PAC ID 9133100597, 11 clinicians

Practice addresses (Care Compare)

215 Riverstone Dr
Canton, GA 30114-5256
Phone (770) 345-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.7 of 100Reported as group
Quality
93.4
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN233239GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose Throat & Specialist-Cherokee Sinus Center CurrentSince Apr 8, 2017 Accepting new patients
Ear, Nose, Throat, and Allergy Specialists Past Accepting new patients
Concordia Anesthesiology, Inc Past Accepting new patients

Locations

125 Oakside Ct
Ste 301
Canton, GA 30114
Phone (770) 345-0070

215 Riverstone Dr
Canton, GA 30114
Phone (770) 281-4487

80A Interstate South Dr
Jasper, GA 30143
Phone (770) 345-6600

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779580800000",
    "number": "1053844878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 RIVERSTONE DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145256",
            "telephone_number": "770-345-6600",
            "fax_number": "770-345-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80A INTERSTATE SOUTH DR",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301436226",
            "telephone_number": "770-345-6600",
            "fax_number": "770-345-6611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Riverstone Dr",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "GA",
            "postal_code": "301145256",
            "country_code": "US",
            "telephone_number": "770-281-4487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICE",
        "first_name": "CRYSTAL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2026-05-24",
        "certification_date": "2026-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN233239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q060576",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003189302A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003189302B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, GA

Sources for this page

Verify at the official NPI Registry.