Individual provider Active NPI

John Dale Crawford, B.S.,D.C.

  • Chiropractor
  • Ringgold, GA
National Provider Identifier
1073658555
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4681 Issued in GA
Practice address
4217 Cloud Springs Rd
Ringgold, GA 30736-8413
Phone
(706) 891-1011
Fax
(706) 891-1013
NPI assigned
Feb 21, 2007
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4681 GA Primary

Addresses

Primary practice location

4217 Cloud Springs Rd
Ringgold, GA 30736-8413

Mailing address

PO Box 2190
Ft Oglethorpe, GA 30742-0190
Phone (706) 891-1011

Other identifiers 2

IdentifierTypeStateIssuer
000487572AMedicaidGA
0133762OtherTNBCBS PROV NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080514000396 GA Practitioner - Chiropractic 5890864011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4217 Cloud Springs Rd
Ringgold, GA 30736-8413
Phone (706) 891-1011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
4681GAMDChiropractor
004681GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
King Chiropractic Clinic PC Chiropractor CurrentSince Apr 3, 2008 Accepting new patients

Locations

4205 Cloud Springs Rd
Ringgold, GA 30736
Phone (706) 891-1011

4217 Cloud Springs Rd
Ringgold, GA 30736
Phone (706) 891-1011

Organizations & group practices 1

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1073658555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2190",
            "city": "FT OGLETHORPE",
            "state": "GA",
            "postal_code": "307420190",
            "telephone_number": "706-891-1011",
            "fax_number": "706-891-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 CLOUD SPRINGS RD",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307368413",
            "telephone_number": "706-891-1011",
            "fax_number": "706-891-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "JOHN",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "B.S.,D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "4681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000487572A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV NUMBER",
            "identifier": "0133762",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ringgold, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.