Sharon G. Crenshaw, PHYSICIAN EXTENDER

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

102718 Issued in NC

Practice address

301 N Herman Street Box CC
Goldsboro, NC 27530-1056

Phone

(919) 731-1250

Fax

(919) 731-1232

NPI assigned

Aug 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Insight Family Center

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1518232560

  NC

  Medicare reassignment

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1104932433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 MERRYWOOD DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103332",
            "telephone_number": "919-832-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N HERMAN STREET BOX CC",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275301056",
            "telephone_number": "919-731-1250",
            "fax_number": "919-731-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRENSHAW",
        "first_name": "SHARON",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "credential": "PHYSICIAN EXTENDER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Craig, D.D.S.
• Bambi Michelle Crawford-Jones, LCMHCA
• T-Rex Crawford, ABD, LCAS, CSI, LCSW
• Sara Creech
• Kevin M Cregan, M.D.
• Kristen Shayanne Crook, CPNP-PC
• Rebecca Auston Croom, PA
• Susan Sutton Croom, FNP-C
• Anne Cross, MD
• Crossroads Support Services, Inc

• All providers in Goldsboro, NC
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.