Individual provider Active NPI

Brittany Foulkes Crenshaw, M.D.

  • Internal Medicine Physician
  • Quitman, GA
National Provider Identifier
1215257597
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
69115 Issued in GA
Practice address
907 N Court St
Quitman, GA 31643-1315
Phone
(229) 263-4531
Fax
(229) 263-5787
NPI assigned
Jun 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 69115 GA Primary
Internal Medicine Physician 207R00000X ME 114901 FL
Internal Medicine Physician 207R00000X 01078331A IN
Internal Medicine Physician 207R00000X 288757 NY
Internal Medicine Physician 207R00000X MD461595 PA
Internal Medicine Physician 207R00000X 271382 MA
Internal Medicine Physician 207R00000X 25MA10200500 NJ

Addresses

Primary practice location

907 N Court St
Quitman, GA 31643-1315

Mailing address

907 N Court St
Quitman, GA 31643-1315
Phone (229) 263-4531

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
I20130820000282 GA Practitioner - Internal Medicine 1153566013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctor on Demand Professionals P C 113 clinicians

Practice addresses (Care Compare)

40 Technology Pkwy S
Suite 300
Norcross, GA 30092-2924
Phone (800) 997-6196

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 114901FLMDInternal Medicine Physician
69115GAMDInternal Medicine Physician
01078331AINMDInternal Medicine Physician
271382MAMDInternal Medicine Physician
25MA10200500NJMDInternal Medicine Physician
288757NYMDInternal Medicine Physician
MD461595PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Area Primary Health Care, Inc. CurrentSince Feb 1, 2017 Accepting new patients
Albany Area Primary Health Care, Inc CurrentSince Feb 1, 2017 Accepting new patients
Albany Area Primary Health Care, Inc. Current Accepting new patients
Doctor on Demand Professionals P C CurrentSince Mar 8, 2020 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

2408 Westgate Dr
Albany, GA 31707
Phone (229) 888-6559

204 Westover Blvd
Albany, GA 31707
Phone (229) 888-6559

2001 Leonard Ave
Albany, GA 31705
Phone (229) 435-9934

1712 E Broad Ave
#A
Albany, GA 31705
Phone (229) 639-3100

Interoperability endpoints

  • Direct secure messaging: brittany.crenshaw.1@30520.direct.athenahealth.com

Organizations & group practices 5

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": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1215257597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 N COURT ST",
            "city": "QUITMAN",
            "state": "GA",
            "postal_code": "316431315",
            "telephone_number": "229-263-4531",
            "fax_number": "229-263-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 N COURT ST",
            "city": "QUITMAN",
            "state": "GA",
            "postal_code": "316431315",
            "telephone_number": "229-263-4531",
            "fax_number": "229-263-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRENSHAW",
        "first_name": "BRITTANY",
        "middle_name": "FOULKES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "69115",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 114901",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01078331A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "288757",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD461595",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "271382",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA10200500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quitman, GA

Sources for this page

Verify at the official NPI Registry.