Individual provider Active NPI

Jerrall P Crook Jr., M.D.

  • Otolaryngology Physician
  • Nashville, TN
National Provider Identifier
1114997038
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
000016360 Issued in TN
Practice address
2004 Hayes St Ste 600
Nashville, TN 37203-2663
Phone
(615) 340-4000
Fax
(615) 327-4449
NPI assigned
Jan 24, 2006
Last updated
Dec 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 000016360 TN Primary

Addresses

Primary practice location

2004 Hayes St Ste 600
Nashville, TN 37203-2663

Mailing address

PO Box 331049
Nashville, TN 37203-7508
Phone (615) 340-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110110000428 TN Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 1153359047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology
Education
University of Tennessee, HSC, College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Otolaryngology Associates of Tennessee PCGroup PAC ID 8628066404, 24 clinicians

Practice addresses (Care Compare)

2004 Hayes St
Suite 600
Nashville, TN 37203-2663
Phone (615) 340-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.25 of 100Reported as group
Quality
98.09
Promoting interoperability
91
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000016360TNMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Otolaryngology Associates of Tennessee PC Otolaryngology CurrentSince Jan 1, 1997 Accepting new patients

Locations

4601 Carothers Pkwy
Ste 215
Franklin, TN 37067
Phone (615) 340-4000

2004 Hayes St
Ste 600
Nashville, TN 37203
Phone (615) 340-4000

222 22nd Ave N
Ste 600
Nashville, TN 37203
Phone (615) 284-8660

300 20th Ave N
Ste 502
Nashville, TN 37203
Phone (615) 284-4444

410 42nd Ave N
Ste 200
Nashville, TN 37209
Phone (615) 340-4000

Interoperability endpoints

  • Direct secure messaging: jcrook@oatenn.emadirect.md

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1114997038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331049",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372037508",
            "telephone_number": "615-340-4000",
            "fax_number": "615-327-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 HAYES ST STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032663",
            "telephone_number": "615-340-4000",
            "fax_number": "615-327-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOK",
        "first_name": "JERRALL",
        "middle_name": "P",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "000016360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.