Active NPI
Leanna Nicole Crawford, FNP
- Family Nurse Practitioner
- Augusta, GA
National Provider Identifier
1164095352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN204514
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220929000448 | GA | Practitioner - Nurse Practitioner | 5193101145 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN204514 | GA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Screven County Health Department | Current | Accepting new patients | |
| Richmond County Board of Health | Current | Accepting new patients | |
| Columbia County Board of Health | Current | Accepting new patients | |
| Richmond County Board of Health | Current | 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 | Past | 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.
-
- Public Health or Welfare Agency
- Swainsboro, GA
- NPI 1013967728
-
- Public Health or Welfare Agency
- Louisville, GA
- NPI 1205889623
-
- Public Health or Welfare Agency
- Augusta, GA
- NPI 1225089824
-
- Public Health or Welfare Agency
- Sylvania, GA
- NPI 1992756522
-
- Public Health or Welfare Agency
- Grovetown, GA
- NPI 1669422598
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.