Active NPI
Brittany Foulkes Crenshaw, M.D.
- Internal Medicine Physician
- Quitman, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 69115
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME 114901 | FL | MD | Internal Medicine Physician |
| 69115 | GA | MD | Internal Medicine Physician |
| 01078331A | IN | MD | Internal Medicine Physician |
| 271382 | MA | MD | Internal Medicine Physician |
| 25MA10200500 | NJ | MD | Internal Medicine Physician |
| 288757 | NY | MD | Internal Medicine Physician |
| MD461595 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Area Primary Health Care, Inc. | Current | Accepting new patients | |
| Albany Area Primary Health Care, Inc | Current | Accepting new patients | |
| Albany Area Primary Health Care, Inc. | Current | Accepting new patients | |
| Doctor on Demand Professionals P C | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Albany, GA
- NPI 1780608992
GA
-
- Federally Qualified Health Center (FQHC)
- Albany, GA
- NPI 1013709625
-
- Federally Qualified Health Center (FQHC)
- Albany, GA
- NPI 1013422161
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.