Individual provider Active NPI

Dawn Shiree Crawford, APRN

  • Adult Medicine Physician
  • Greensboro, NC
National Provider Identifier
1164170429
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
5016111 Issued in NC
Practice address
3869 Parkway Vista Rd
Greensboro, NC 27409-9117
Phone
(863) 514-6789
NPI assigned
Mar 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11018704 FL
Adult Medicine Physician 207QA0505X 5016111 NC Primary

Addresses

Primary practice location

3869 Parkway Vista Rd
Greensboro, NC 27409-9117

Mailing address

3869 Parkway Vista Rd
Greensboro, NC 27409-9117
Phone (863) 514-6789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250107000838 NC Practitioner - Nurse Practitioner 3274061130 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11018704FLMDFamily Medicine Physician
5016111NCMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Health Corporation CurrentSince Nov 5, 2024 Accepting new patients
Pai Participant 29, P.C. CurrentSince Jan 12, 2025 Accepting new patients

Locations

1987 Hilton Rd
Burlington, NC 27217
Phone (336) 226-0848

1287 Newsome St
Mount Airy, NC 27030
Phone (336) 786-2133

Organizations & group practices 2

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": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1164170429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3869 PARKWAY VISTA RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274099117",
            "telephone_number": "863-514-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3869 PARKWAY VISTA RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274099117",
            "telephone_number": "863-514-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "DAWN",
        "middle_name": "SHIREE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11018704",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NC",
            "license": "5016111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.