Cameo Jamar Crumby, ADMINISTRATOR
Individual provider Active NPI Case Manager/Care Coordinator · Concord, NC
NPI 1124507553 · NPPES record last updated Aug 7, 2018
Key facts
- NPI
- 1124507553
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 3662 Patricia Dr NW
Concord, NC 28027-5625 - Phone
- (330) 329-5961
- NPI assigned
- Aug 7, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NC | Yes |
Addresses
Primary practice location
3662 Patricia Dr NW
Concord, NC 28027-5625
Mailing address
3662 Patricia Dr NW
Concord, NC 28027-5625
Phone (330) 329-5961
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83-0982968 | Medicaid | NC |
Other providers in Concord, NC
- Kassidy Crosby
- Jennifer Alicia Cross
- Patricia Crossen
- Crossroads Treatment Centers of North Carolina, P.C.
- Lisa Crowder
- Chelsea N Crump
- Kalina Cuarisma-Toney
- Christine A Cullen
- Emily Moore Cuprzynski
- Ashley Keona-Shaw Cureton
All providers in Concord, NC · Case Manager/Care Coordinator in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.