Preston Allen Crawford, NP-C

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

Last updated

Jun 9, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hyperbaric and Woundcare IncGroup PAC ID 1052311560, 26 clinicians

Southland Optim Screven Emergency Medical Services LLCGroup PAC ID 9739480021, 19 clinicians

Munsayac Health, LLCGroup PAC ID 9436424470, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hyperbaric & Woundcare Inc

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Hazlehurst, GA
  • NPI 1780105296
  Medicare reassignment Care Compare group NPD
• Munsayac Health LLC

  • Family Medicine Physician
  • Hazlehurst, GA
  • NPI 1376068064
  Medicare reassignment Care Compare group NPD
• Southland Optim Screven Emergency Medical Services LLC

  • Emergency Medicine Physician
  • Sylvania, GA
  • NPI 1174917157
  Medicare reassignment Care Compare group NPD
• Southland Optim Jenkins Emergency Medical Services, LLC

  • Emergency Medicine Physician
  • Millen, GA
  • NPI 1265826242
  Medicare reassignment NPD
• Southland Optim Jenkins Emergency Medical Services, LLC

  dba DBA Southland Liberty Emergency Medical Services

  • Emergency Medicine Physician
  • Hinesville, GA
  • NPI 1477913580
  NPD
• Hyperbaric & Woundcare Inc

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Tampa, FL
  • NPI 1457308173
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Coffee Regional Medical Center, Inc

  dba Coffee Regional Medical Center

  • General Acute Care Hospital
  • Douglas, GA
  • NPI 1760419527
  Care Compare affiliation
• Hospital Authority of Jeff Davis County Georgia

  dba Jeff Davis Hospital

  • Critical Access Hospital
  • Hazlehurst, GA
  • NPI 1912902263
  Care Compare affiliation

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": []
}

• Skyler Clark, PHARMD
• Carla M Coleman, CCC-SLP
• Sherryl C. Copeland, APRN
• Candace Ross Corbitt, BCBA
• Betty Lee Courson, PTA
• Sharon Lakisha Cray, FNP-BC
• Tiffany Dawnyal Cray
• Bailey Elizabeth Creamer, PHARMD
• Cari Dixon Creamer, CCC-SLP
• CRH Physician Practices LLC (CRH Medical Group)

• Family Medicine Physician in Hazlehurst, GA
• Providers in Hazlehurst, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.