NPIMap

Individual provider Active NPI

Randy Byron Cronic, MD

  • Family Medicine Physician
  • Duluth, GA
National Provider Identifier
1063438679
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
038721 Issued in GA
Practice address
3660 Howell Ferry Rd
BLDG B
Duluth, GA 30096
Phone
(770) 670-4640
Fax
(770) 670-4644
NPI assigned
Jul 15, 2006
Last updated
Jun 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 038721 GA Primary

Addresses

Primary practice location

3660 Howell Ferry Rd
BLDG B
Duluth, GA 30096

Mailing address

PO Box 1865
Duluth, GA 30096
Phone (770) 670-4640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041025000270 GA Practitioner - Family Practice 5496716441 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ascend Medical Georgia II PCGroup PAC ID 0547657181, 16 clinicians
Ascend Medical Georgia PCGroup PAC ID 8820488745, 24 clinicians

Practice addresses (Care Compare)

3560 Lenox Rd NE
Suite 1230
Atlanta, GA 30326-4335
Phone (678) 500-8010

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
038721GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince Apr 5, 2017 Accepting new patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince Apr 5, 2017 Accepting new patients
Ascend Medical Georgia II PC Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Ascend Medical Georgia PC Family Medicine CurrentSince Oct 9, 2024 Accepting new patients

Locations

130 Hawthorne Park
Athens, GA 30606
Phone (706) 227-2700

3560 Lenox Rd NE
Ste 1230
Atlanta, GA 30326
Phone (678) 500-8010

619 Rankin St NE
Atlanta, GA 30308
Phone (404) 874-3102

3660 Howell Ferry Rd
Duluth, GA 30096
Phone (770) 363-7013

3660 Howell Ferry Rd
#B
Duluth, GA 30096
Phone (770) 596-9144

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

8256 Main St
Woodstock, GA 30188
Phone (404) 882-3765

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: randy.cronic.1@30437.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Capstone Hospice, LLCPeachtree Corners, GA, CCN 111774 Hospice Contracted Managing Employee Mar 7, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1063438679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1865",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "30096",
            "telephone_number": "770-670-4640",
            "fax_number": "770-670-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 HOWELL FERRY RD",
            "address_2": "BLDG B",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "30096",
            "telephone_number": "770-670-4640",
            "fax_number": "770-670-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONIC",
        "first_name": "RANDY",
        "middle_name": "BYRON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "038721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.