Individual provider Active NPI

Clarence Lyn Crooms, M.D.

  • Orthopaedic Surgery Physician
  • Marietta, GA
National Provider Identifier
1205839925
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
011312 Issued in GA
Practice address
3823 Roswell Rd
Suite 202
Marietta, GA 30062-6278
Phone
(770) 579-8558
Fax
(770) 973-1934
NPI assigned
May 27, 2005
Last updated
Dec 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 011312 GA Primary

Addresses

Primary practice location

3823 Roswell Rd
Suite 202
Marietta, GA 30062-6278

Mailing address

300 Tower Rd NE
Ste 200
Marietta, GA 30060-9403
Phone (770) 427-5717

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050119000615 GA Practitioner - Orthopedic Surgery 1153370945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Georgia School of Medicine, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1121 Johnson Ferry Rd
Suite 200
Marietta, GA 30068-5425
Phone (770) 579-8558

300 Tower Rd
Suite 200
Marietta, GA 30060-9403

300 Tower Rd NE
Suite 200
Marietta, GA 30060-9403
Phone (770) 427-5717

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
011312GAMDOrthopaedic Surgery Physician
11312GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Orthopaedics & Sports Medicine Specialists LLC CurrentSince Nov 16, 2015 Accepting new patients
Pinnacle Orthopaedics & Sports Medicine Specialists LLC Orthopaedic Surgery CurrentSince Nov 16, 2015 Accepting new patients
Pinnacle Orthopaedics & Sports Medicine Specialists LLC Current Accepting new patients

Locations

100 Greystone Power Blvd
Dallas, GA 30157
Phone (678) 453-5717

1121 Johnson Ferry Rd
Ste 200
Marietta, GA 30068
Phone (770) 579-8558

300 Tower Rd NE
Ste 101
Marietta, GA 30060
Phone (770) 218-0219

300 Tower Rd NE
Ste 200
Marietta, GA 30060
Phone (770) 427-5717

3747 Roswell Rd
Ste 319
Marietta, GA 30062
Phone (770) 579-8558

3823 Roswell Rd
Ste 202
Marietta, GA 30062
Phone (678) 383-6643

Interoperability endpoints

  • Direct secure messaging: c.crooms.1@15749.direct.athenahealth.com
  • Direct secure messaging: lyn.crooms@po.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1205839925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TOWER RD NE",
            "address_2": "STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300609403",
            "telephone_number": "770-427-5717",
            "fax_number": "770-429-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3823 ROSWELL RD",
            "address_2": "SUITE 202",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626278",
            "telephone_number": "770-579-8558",
            "fax_number": "770-973-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOMS",
        "first_name": "CLARENCE",
        "middle_name": "LYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "011312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.