Angie Craddieth

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

2240 Military Rd Ste 3
Columbus, MS 39705-2456

Phone

(662) 364-1058

NPI assigned

Oct 12, 2022

Last updated

Nov 13, 2024By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Heart 2 Heart Comfort Homecare LLC

  • Personal Care Attendant
  • Columbus, MS
  • NPI 1598481467

  Home Health

  NPD Authorized official

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1063138931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 MILITARY RD STE 3",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052456",
            "telephone_number": "662-798-0757",
            "fax_number": "662-570-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 MILITARY RD STE 3",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052456",
            "telephone_number": "662-364-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRADDIETH",
        "first_name": "ANGIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "MS",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Claire Cox
• Patricia T Cox, M.S., PT
• Sara Cox, NP-C
• CPPS LLC (Healty Minds Counseling IOP)
• CPPS LLC
• Precious Craddieth
• Mitchell Ray Crane, DMD
• Creative Health Solutions
• Mary Grace Crenshaw, COTA/L
• Sarah G Crigler, MS, LPC

• Personal Care Attendant in Columbus, MS
• Providers in Columbus, MS by specialty
• Personal Care Attendant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.