Individual provider Active NPI

Preston Allen Crawford, NP-C

  • Family Medicine Physician
  • Hazlehurst, GA
National Provider Identifier
1154975647
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RN239193 Issued in GA
Practice address
11 Johnson St
Hazlehurst, GA 31539-6243
Phone
(800) 367-0816
Fax
(912) 525-1933
NPI assigned
Aug 1, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RN239193 GA Primary

Addresses

Primary practice location

11 Johnson St
Hazlehurst, GA 31539-6243

Mailing address

15 Joe Norman Rd
Hazlehurst, GA 31539-8047
Phone (912) 278-2303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20191018000438 GA Practitioner - Nurse Practitioner 9133450331 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hyperbaric and Woundcare Inc 26 clinicians
Southland Optim Screven Emergency Medical Services LLC 19 clinicians
Munsayac Health, LLC 2 clinicians

Practice addresses (Care Compare)

163 S Tallahassee St
Hazlehurst, GA 31539-6465
Phone (912) 699-4325

22 Cross St
Hazlehurst, GA 31539-6426
Phone (912) 375-4884

Hospital & facility affiliations

  • Jeff Davis Hospital Hospital, Hazlehurst, GA, CCN 111333
  • Coffee Regional Medical Center, Inc Hospital, Douglas, GA, CCN 110089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hyperbaric & Woundcare Inc CurrentSince Apr 21, 2022 Accepting new patients
Southland Optim Jenkins Emergency Medical Services, LLC Current Accepting new patients
Southland Optim Screven Emergency Medical Services LLC CurrentSince Sep 10, 2023 Accepting new patients
Munsayac Health LLC Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Southland Optim Jenkins Emergency Medical Services, LLC CurrentSince Nov 1, 2021 Accepting new patients
Hyperbaric & Woundcare Inc Past Accepting new patients

Locations

22 Cross St
Hazlehurst, GA 31539
Phone (912) 375-3360

163 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-7781

462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068

931 E Winthrope Ave
Millen, GA 30442
Phone (478) 982-4221

215 Mims Rd
Sylvania, GA 30467
Phone (912) 557-1207

Organizations & group practices 6

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": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1154975647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 JOE NORMAN RD",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315398047",
            "telephone_number": "912-278-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 JOHNSON ST",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396243",
            "telephone_number": "800-367-0816",
            "fax_number": "912-525-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "PRESTON",
        "middle_name": "ALLEN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-01",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN239193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlehurst, GA

Sources for this page

Verify at the official NPI Registry.