Individual provider Active NPI

Andrew Grady Crews, DC

  • Chiropractor
  • Statesville, NC
National Provider Identifier
1093380842
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5278 Issued in NC
Practice address
1318 Davie Ave Ste B
Statesville, NC 28677-3565
Phone
(828) 221-6259
NPI assigned
May 24, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5278 NC Primary

Addresses

Primary practice location

1318 Davie Ave Ste B
Statesville, NC 28677-3565

Mailing address

1318 Davie Ave Ste B
Statesville, NC 28677-3565
Phone (828) 221-6259

Other identifiers 1

IdentifierTypeStateIssuer
5278OtherNCNC STATE BOARD OF CHIROPRACTIC EXAMINERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5278NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Country Family Chiropractic PLLC Chiropractor CurrentSince Mar 3, 2024 Accepting new patients
Doreen Day Holloway,DC, P.a. Single Specialty PastSince Jun 1, 2021 Accepting new patients

Locations

1318 Davie Ave
Ste B
Statesville, NC 28677
Phone (828) 221-6259

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1093380842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 DAVIE AVE STE B",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773565",
            "telephone_number": "828-221-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 DAVIE AVE STE B",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773565",
            "telephone_number": "828-221-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREWS",
        "first_name": "ANDREW",
        "middle_name": "GRADY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-24",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE BOARD OF CHIROPRACTIC EXAMINERS",
            "identifier": "5278",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.