Active NPI
Anne Carson Crouch, PA-C
- Physician Assistant
- Savannah, GA
National Provider Identifier
1154574689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5623
- Practice address
- 8880 Abercorn St
Savannah, GA 31406-4508 - Phone
- (912) 331-4444
- NPI assigned
- Oct 28, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5623 | GA | Primary |
Addresses
Primary practice location
8880 Abercorn St
Savannah, GA 31406-4508
Mailing address
PO Box 116510
Atlanta, GA 30368-6073
Phone (912) 355-6615
Other practice location 1
2 Ed Moore Ct Ste A
Statesboro, GA 30458-5024
Phone (912) 231-4444
Other practice location 2
4425 Paulsen St
Savannah, GA 31405-3662
Phone (912) 355-6615
Other practice location 3
459 Hwy 119 S
Springfield, GA 31329-3021
Phone (912) 231-4444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003114220B | Medicaid | GA | |
| P00727253 | Other | SC | RAILROAD MEDICARE ID-RSFPN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5623 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optim Orthopedics, LLC | Past | Accepting new patients | |
| Optim Orthopedics, LLC | Past | Accepting new patients | |
| Tattnall Hospital Company, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Midway, GA
- NPI 1821639758
-
- Orthopaedic Surgery Physician
- Sylvania, GA
- NPI 1386455376
-
- Orthopaedic Surgery Physician
- Bluffton, SC
- NPI 1528451481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1154574689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 116510",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303686073",
"telephone_number": "912-355-6615",
"fax_number": "912-351-0645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8880 ABERCORN ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314064508",
"telephone_number": "912-331-4444"
}
],
"practiceLocations": [
{
"address_1": "2 Ed Moore Ct Ste A",
"address_purpose": "LOCATION",
"city": "Statesboro",
"state": "GA",
"postal_code": "304585024",
"country_code": "US",
"telephone_number": "912-231-4444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4425 Paulsen St",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314053662",
"country_code": "US",
"telephone_number": "912-355-6615",
"fax_number": "912-351-0645",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "459 Hwy 119 S",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "GA",
"postal_code": "313293021",
"country_code": "US",
"telephone_number": "912-231-4444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROUCH",
"first_name": "ANNE",
"middle_name": "CARSON",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-28",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "5623",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003114220B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE ID-RSFPN",
"identifier": "P00727253",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.