Crystal Keyonnica Bailey, APRN-NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-NP240322 Issued in GA

Practice address

44 Darbys Crossing Dr Ste 110a
Hiram, GA 30141-6048

Phone

(770) 575-0022

Fax

(770) 492-4169

NPI assigned

Oct 3, 2020

Last updated

Mar 19, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Revive Orthopedics Spine and Sports Medicine IncGroup PAC ID 6204271349, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

50.89 of 100Reported as group

Quality

13.1

Promoting interoperability

100

Improvement activities

0

Cost

73.19

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Revive Orthopedics Spine & Sports Medicine, Inc

  dba Revive Orthopedics Spine & Sports Medicine

  • Multi-Specialty Clinic/Center
  • Lithia Springs, GA
  • NPI 1306563663
  Medicare reassignment Care Compare group NPD
• Vitality Health and Glow Clinic

  • Primary Care Clinic/Center
  • Hiram, GA
  • NPI 1902610447
  Medicare reassignment NPD Authorized official
• SHC Medical Partners of Georgia, LLC

  • Nurse Practitioner
  • Atlanta, GA
  • NPI 1639314057
  Medicare reassignment NPD

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

{
    "created_epoch": "1601683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1225635212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 DARBYS CROSSING DR STE 110A",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301416048",
            "telephone_number": "770-575-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 DARBYS CROSSING DR STE 110A",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301416048",
            "telephone_number": "770-575-0022",
            "fax_number": "770-492-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "CRYSTAL",
        "middle_name": "KEYONNICA",
        "credential": "APRN-NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-03",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP240322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lataura Atwell-Small, M.D.
• Anais Maria Avery
• Andre T Ayers, NMTCB
• Sylvester Ayewoh, OD
• Azita Bahrami, DMD
• Roselyn Funmi Banjo
• Tambria A Banks
• Tresha Danyele Banks, NP
• Kristen Barfield
• Byron T Barnes, NMTCB

• Family Nurse Practitioner in Hiram, GA
• Providers in Hiram, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.

Verify at the official NPI Registry.