Individual provider Active NPI

Leanna Nicole Crawford, FNP

  • Family Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1164095352
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN204514 Issued in GA
Practice address
950 Laney Walker Blvd
Augusta, GA 30901-2960
Phone
(706) 721-5800
NPI assigned
Jul 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN204514 GA
Family Nurse Practitioner 363LF0000X RN204514 GA Primary

Addresses

Primary practice location

950 Laney Walker Blvd
Augusta, GA 30901-2960

Mailing address

950 Laney Walker Blvd
Augusta, GA 30901-2960

Other practice location 1

5133 Parnell Way
Martinez, GA 30907-8896
Phone (706) 825-9209

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Augusta Health Information Exchange (HIE)

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
I20220929000448 GA Practitioner - Nurse Practitioner 5193101145 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN204514GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Screven County Health Department Current Accepting new patients
Richmond County Board of Health CurrentSince Sep 1, 2022 Accepting new patients
Columbia County Board of Health CurrentSince Feb 10, 2025 Accepting new patients
Richmond County Board of Health CurrentSince Sep 1, 2022 Accepting new patients
Emanuel County Board of Health Current Accepting new patients
Jefferson County Board of Health Current Accepting new patients
Columbia County Board of Health PastSince Feb 10, 2025 Accepting new patients

Locations

2420 Windsor Spring Rd
Augusta, GA 30906
Phone (706) 790-0661

950 Laney Walker Blvd
Augusta, GA 30901
Phone (706) 721-5800

1930 William Few Pkwy
Grovetown, GA 30813
Phone (706) 868-3330

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1164095352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 LANEY WALKER BLVD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 LANEY WALKER BLVD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012960",
            "telephone_number": "706-721-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5133 Parnell Way",
            "address_purpose": "LOCATION",
            "city": "Martinez",
            "state": "GA",
            "postal_code": "309078896",
            "country_code": "US",
            "telephone_number": "706-825-9209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "LEANNA",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN204514",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN204514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Augusta",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5133 Parnell Way",
            "city": "Martinez",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309078896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.