Daniel Allen Crall Sr., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4453 Issued in TN

Practice address

11611 Highway 51 S
Atoka, TN 38004-7130

Phone

(901) 842-1760

NPI assigned

Jul 24, 2019

Last updated

Jun 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Redmed, LLC

  • Durable Medical Equipment & Medical Supplies
  • Atoka, TN
  • NPI 1538991872
  NPD
• Thrive Family Healthcare, PLLC

  dba Thrive Family Healthcare

  • Family Medicine Physician
  • Ripley, TN
  • NPI 1336938059
  NPD (past)
• Redmed, LLC

  dba RedMed

  • Urgent Care Clinic/Center
  • Pontotoc, MS
  • NPI 1437589157
  NPD (past)
• Redmed, LLC

  • Durable Medical Equipment & Medical Supplies
  • Oxford, MS
  • NPI 1679305031
  NPD (past)

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1245883602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11611 HIGHWAY 51 S",
            "city": "ATOKA",
            "state": "TN",
            "postal_code": "380047130",
            "telephone_number": "757-615-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11611 HIGHWAY 51 S",
            "city": "ATOKA",
            "state": "TN",
            "postal_code": "380047130",
            "telephone_number": "901-842-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRALL",
        "first_name": "DANIEL",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-24",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09235",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Joy Casama, MD
• Keneko T Claybon, PHARM. D.
• Comfort Solutions Sleep Services
• Comprehensive Primary Care PLLC
• Staci T Cownover, PA-C
• William G. Curry, PA-C
• Mary L Davis
• Mary Grace Distretti, DPT
• Roxanne Dowell
• Alexa Kaitlyn Durham, RN

• Physician Assistant in Atoka, TN
• Providers in Atoka, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.