Active NPI
Preston Allen Crawford, NP-C
- Family Medicine Physician
- Hazlehurst, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- RN239193
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 IncSouthland Optim Screven Emergency Medical Services LLCMunsayac Health, LLC
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
- Coffee Regional Medical Center, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hyperbaric & Woundcare Inc | Current | Accepting new patients | |
| Southland Optim Jenkins Emergency Medical Services, LLC | Current | Accepting new patients | |
| Southland Optim Screven Emergency Medical Services LLC | Current | Accepting new patients | |
| Munsayac Health LLC | Family Medicine | Current | Accepting new patients |
| Southland Optim Jenkins Emergency Medical Services, LLC | Current | 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.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Hazlehurst, GA
- NPI 1780105296
GA
-
- Emergency Medicine Physician
- Sylvania, GA
- NPI 1174917157
GA
-
- Emergency Medicine Physician
- Millen, GA
- NPI 1265826242
GA
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Tampa, FL
- NPI 1457308173
-
- Emergency Medicine Physician
- Hinesville, GA
- NPI 1477913580
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hazlehurst, GA
- NPI 1912902263
Hospital
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
- 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.