Individual provider Active NPI

Chrystal Hawkins, NP-BC

  • Adult Health Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1245501592
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN172144 Issued in GA
Practice address
3896 Princeton Lakes Way SW
Atlanta, GA 30331-5510
Phone
(404) 489-4444
NPI assigned
Jan 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN172144 GA Primary

Addresses

Primary practice location

3896 Princeton Lakes Way SW
Atlanta, GA 30331-5510

Mailing address

3896 Princeton Lakes Way SW
Atlanta, GA 30331-5510
Phone (404) 489-4444

Other practice location 1

3355 Cascade Rd SW Ste 100
Atlanta, GA 30311-3679
Phone (404) 691-2529

Other practice location 2

2406 Doubletree Dr NW
Acworth, GA 30102-6469
Phone (770) 773-7594

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120601000505 GA Practitioner - Nurse Practitioner 1456515469 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grady Memorial Hospital CorporationGroup PAC ID 7517032998, 365 clinicians

Practice addresses (Care Compare)

3896 Princeton Lakes Way SW
Atlanta, GA 30331-5510
Phone (404) 616-8880

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3050
Phone (404) 616-8880

Hospital & facility affiliations

  • Grady Memorial Hospital Hospital, Atlanta, GA, CCN 110079

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as group
Quality
87.56
Promoting interoperability
100
Improvement activities
40
Cost
75.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN172144GAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Corporation CurrentSince Oct 1, 2022 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Oct 1, 2022 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Oct 1, 2022 Accepting new patients
Georgia CTC, LLC Past Accepting new patients
Woodstock Treatment Center LLC PastSince Jan 5, 2020 Accepting new patients
Wellstar Cardiovascular Medicine, LLC PastSince Apr 1, 2020 Accepting new patients
Calhoun Spinal Associates PastSince Oct 4, 2012 Accepting new patients

Locations

3355 Cascade Rd SW
Ste 100
Atlanta, GA 30311
Phone (404) 691-2529

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

3896 Princeton Lakes Way SW
Atlanta, GA 30331
Phone (404) 489-4444

Organizations & group practices 11

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.

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": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1245501592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3896 PRINCETON LAKES WAY SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315510",
            "telephone_number": "404-489-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3896 PRINCETON LAKES WAY SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315510",
            "telephone_number": "404-489-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3355 Cascade Rd SW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303113679",
            "country_code": "US",
            "telephone_number": "404-691-2529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2406 Doubletree Dr NW",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "301026469",
            "country_code": "US",
            "telephone_number": "770-773-7594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "CHRYSTAL",
        "name_prefix": "Mrs.",
        "credential": "NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-18",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN172144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.