Krystal V Garcia, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

4220 Issued in TN

Practice address

1607 S Locust Ave
Lawrenceburg, TN 38464-4011

Phone

(912) 539-5587

NPI assigned

Apr 11, 2016

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

Other names 1

• Dr. Krystal Victoria Garcia Other name

Medicare fee-for-service enrollment

Enrolled in GA, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Emergency Medicine

Education

Edward Via Col of Osteo Medicine-Carolinas Campus, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Middle Tennessee Emergency Physicians, P.C.Group PAC ID 3678464526, 85 clinicians

Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern Tennessee Regional Health System Lawrence Hospital, Lawrenceburg, TN, CCN 440175
• Marshall Medical Center Hospital, Lewisburg, TN, CCN 441309

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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 and National Provider Directory roles.

• Emergency Coverage, LLC

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Middle Tennessee Emergency Physicians PC

  • Emergency Medicine Physician
  • Nashville, TN
  • NPI 1194758979

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  Single Specialty, TN

  Medicare reassignment NPD
• Wayne Emergency Group LLC

  • Emergency Medicine Physician
  • Jesup, GA
  • NPI 1982828943

  Single Specialty

  Medicare reassignment NPD

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

• Crockett Hospital LLC

  • Rural Acute Care Hospital
  • Lawrenceburg, TN
  • NPI 1114003175
  Care Compare affiliation
• Maury Regional Hospital Marshall Medical Center

  • Critical Access Hospital
  • Lewisburg, TN
  • NPI 1578591756
  Care Compare affiliation

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1104280668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 COLUMNS WAY APT 115",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371741399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 S LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644011",
            "telephone_number": "912-539-5587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Matthew St",
            "address_2": "Emergency Medicine Residency Program",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457501635",
            "country_code": "US",
            "telephone_number": "740-568-5669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "865 S 1st St",
            "address_purpose": "LOCATION",
            "city": "Jesup",
            "state": "GA",
            "postal_code": "315450210",
            "country_code": "US",
            "telephone_number": "912-427-6811",
            "fax_number": "912-530-3180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "KRYSTAL",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "4220",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "82398",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTAL",
            "last_name": "GARCIA",
            "middle_name": "VICTORIA",
            "prefix": "DR.",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Roy David Frazier, DPH
• Frisbie Apothecary Inc
• Victor H Gaines, LCSW
• Mendy Lee Gallian, M.S.
• Misty Lee Gallimore, LMSW
• Victoria T. Gattis, LCSW
• Schyler Gibbs, BSN,RN
• Jeffery Todd Gieske, D.C.
• Summer Gladwin, OTR/L
• Amber Page Glass

• Emergency Medicine Physician in Lawrenceburg, TN
• Providers in Lawrenceburg, TN by specialty
• Emergency Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.