Alan L Crews, M.D.
Individual provider Active NPI Specialist · Dayton, TN
NPI 1164497145 · NPPES record last updated Dec 9, 2009
Key facts
- NPI
- 1164497145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- MD14949 (TN)
- Practice address
- 163 Walnut Grove Church Rd
Dayton, TN 37321-5905 - Phone
- (423) 775-6668
- Fax
- (423) 775-1054
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101026000600 | TN | Practitioner - Internal Medicine | 3577756204 |
Receives reassigned benefits from 3 practitioners Practice locations: Dayton, TN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD14949 | TN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alan L. Crews MD | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD14949 | TN | Yes |
Addresses
Primary practice location
163 Walnut Grove Church Rd
Dayton, TN 37321-5905
Mailing address
PO Box 809
Dayton, TN 37321-0809
Phone (423) 775-6668
Other providers in Dayton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.