Cora Sims Crumby, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN234960 Issued in GA

Practice address

3950 Cobb Pkwy NW
Acworth, GA 30101-9532

Phone

(678) 889-0487

Fax

(866) 493-3521

NPI assigned

Apr 18, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BAJDDD/Endpoint/BAJDDD

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.

• Northwest Pediatric Care

  • Pediatrics Physician
  • Acworth, GA
  • NPI 1497513923
  NPD
• Dr. Miniyars Pediatrics, P.C.

  • Pediatrics Physician
  • Rome, GA
  • NPI 1760651806
  NPD (past)

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1235583105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SNAP DRAGON LN",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301320856",
            "telephone_number": "915-202-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 COBB PKWY NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301019532",
            "telephone_number": "678-889-0487",
            "fax_number": "866-493-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMBY",
        "first_name": "CORA",
        "middle_name": "SIMS",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN234960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsey Crenshaw, RN
• Travious Crenshaw, NP
• Gladys Martha Crespo-Jimenez, DC
• Ashley L Cribbs, RN
• Pamelia Jayne Crowder, PHARMD
• CT Surgical, Inc.
• Cto Therapy, LLC
• Ida Curtis
• D Smith Counseling Services, LLC
• Alice Senyefa D'Almeida, RPH

• Pediatric Nurse Practitioner in Acworth, GA
• Providers in Acworth, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.