Individual provider Active NPI

Holly Hayes Crawford, PA-C

  • Physician Assistant
  • Pensacola, FL
National Provider Identifier
1154804367
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9111518 Issued in FL
Practice address
1717 N E St Ste 401
Pensacola, FL 32501-6346
Phone
(850) 626-9626
NPI assigned
Sep 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9111518 FL Primary

Addresses

Primary practice location

1717 N E St Ste 401
Pensacola, FL 32501-6346

Mailing address

12 Pickens Ave
Pensacola, FL 32503-6451
Phone (850) 240-5155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20181126001566 FL Practitioner - Physician Assistant 4880948116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Alabama College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates of Pensacola PAGroup PAC ID 2365422664, 40 clinicians

Practice addresses (Care Compare)

7000 Cobble CRK
Pensacola, FL 32504-8638
Phone (850) 473-4800

9400 University Pkwy
Pensacola, FL 32514-5752
Phone (850) 436-4563

Hospital & facility affiliations

  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093

Merit-based Incentive Payment System (MIPS)

Final score
76.51 of 100Reported as group
Quality
51.13
Promoting interoperability
94
Improvement activities
40
Cost
75.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Pensacola PA CurrentSince Dec 30, 2019 Accepting new patients
Gastroenterology Associates of Pensacola PA CurrentSince Dec 30, 2019 Accepting new patients

Locations

221 E Redstone Ave
Crestview, FL 32539
Phone (850) 398-6606

4485 Woodbine Rd
Pace, FL 32571

3754 Highway 90
Ste 230
Pace, FL 32571
Phone (850) 299-4345

2475 E Nine Mile Rd
Ste I
Pensacola, FL 32514
Phone (850) 791-6222

9400 University Pkwy
Pensacola, FL 32514
Phone (850) 208-6000

5147 N 9th Ave
Ste 311
Pensacola, FL 32504

1717 N E St
Ste 308
Pensacola, FL 32501
Phone (850) 496-4563

4531 N Davis Hwy
Pensacola, FL 32503
Phone (850) 484-5577

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

9400 University Pkwy
Fl 2
Pensacola, FL 32514

4828 N Davis Hwy
Pensacola, FL 32503

1717 N E St
Ste 401
Pensacola, FL 32501
Phone (850) 444-7050

8333 N Davis Hwy
Fl 7
Pensacola, FL 32514
Phone (850) 474-1625

Interoperability endpoints

  • Direct secure messaging: holly.crawford@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1154804367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PICKENS AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325036451",
            "telephone_number": "850-240-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N E ST STE 401",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325016346",
            "telephone_number": "850-626-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "HOLLY",
        "middle_name": "HAYES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.