Individual provider Active NPI

Linda S Crabbe, MD

  • Developmental - Behavioral Pediatrics Physician
  • Sumter, SC
National Provider Identifier
1154349504
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
16041 Issued in SC
Practice address
370 S Pike W
Sumter, SC 29150-2664
Phone
(803) 774-7337
Fax
(803) 774-4629
NPI assigned
Jul 17, 2006
Last updated
Nov 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X 16041 SC Primary

Addresses

Primary practice location

370 S Pike W
Sumter, SC 29150-2664

Mailing address

370 S Pike W
Sumter, SC 29150-2664
Phone (803) 774-7337

Other identifiers 1

IdentifierTypeStateIssuer
160417MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20100811000686 SC Practitioner - Pediatric Medicine 1153455274 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16041SCMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tandem Health SC CurrentSince Aug 26, 2013 Accepting new patients
Tandem Health SC CurrentSince Aug 26, 2013 Accepting new patients
Tandem Health SC Past Accepting new patients

Locations

1278 N Layfayette St
Sumter, SC 29150

370 S Pike W
Sumter, SC 29150
Phone (803) 774-6448

550 S Pike W
Sumter, SC 29150

Interoperability endpoints

  • Direct secure messaging: linda.crabbe.1@13095.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1154349504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 S PIKE W",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502664",
            "telephone_number": "803-774-7337",
            "fax_number": "803-774-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 S PIKE W",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502664",
            "telephone_number": "803-774-7337",
            "fax_number": "803-774-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRABBE",
        "first_name": "LINDA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "SC",
            "license": "16041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160417",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.