Jessica Berry Crouch, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

160 River Bend Dr Ste a
Granite Falls, NC 28630-9371

Phone

(828) 757-5060

Fax

(828) 757-5064

NPI assigned

Jul 5, 2018

Last updated

Mar 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Caldwell Memorial Hospital, Inc.

  dba Plus Urgent Care Hickory

  • Family Medicine Physician
  • Hickory, NC
  • NPI 1861268245
  Medicare reassignment NPD
• Caldwell Memorial Hospital, Inc

  dba Robbins Cardiology

  • Cardiovascular Disease Physician
  • Lenoir, NC
  • NPI 1477839108
  Medicare reassignment
• Blowing Rock Medical Clinic PR

  • Geriatric Medicine (Family Medicine) Physician
  • Blowing Rock, NC
  • NPI 1922046820
  NPD
• Caldwell Memorial Hospital Inc.

  dba UNC Health Caldwell Radiology Associates

  • Diagnostic Radiology Physician
  • Lenoir, NC
  • NPI 1255221180
  NPD
• Caldwell Memorial Hospital, Inc

  dba Robbins Medical Park

  • Internal Medicine Physician
  • Lenoir, NC
  • NPI 1114935673
  NPD
• Caldwell Memorial Hospital, Inc.

  dba Anderson Medical Park

  • Family Medicine Physician
  • Hudson, NC
  • NPI 1295740934
  NPD
• Caldwell Memorial Hospital, Inc.

  dba RiverCrest Medical Park

  • Internal Medicine Physician
  • Lenoir, NC
  • NPI 1417483728
  NPD
• Caldwell Memorial Hospital, Inc.

  dba Blowing Rock Medical Park

  • Geriatric Medicine (Family Medicine) Physician
  • Blowing Rock, NC
  • NPI 1578949079
  NPD
• Caldwell Memorial Hospital, Inc.

  dba Digestive Health Center Hickory

  • Gastroenterology Physician
  • Hickory, NC
  • NPI 1831965201
  NPD
• Caldwell Memorial Hospital, Inc

  dba Mulberry Pediatrics

  • Pediatrics Physician
  • Lenoir, NC
  • NPI 1922013457
  NPD (past)
• Reproductive Specialists of the Carolinas

  • Reproductive Endocrinology Physician
  • Charlotte, NC
  • NPI 1902408032
  NPD (past)

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1265928964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 RIVER BEND DR STE A",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286309371",
            "telephone_number": "828-757-5060",
            "fax_number": "828-757-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 RIVER BEND DR STE A",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286309371",
            "telephone_number": "828-757-5060",
            "fax_number": "828-757-5064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8439 Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "Blowing Rock",
            "state": "NC",
            "postal_code": "286058957",
            "country_code": "US",
            "telephone_number": "828-295-3116",
            "fax_number": "828-295-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "270 Pine Mountain Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "NC",
            "postal_code": "286382600",
            "country_code": "US",
            "telephone_number": "828-757-6325",
            "fax_number": "828-757-6323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "322 Mulberry St SW Ste A",
            "address_purpose": "LOCATION",
            "city": "Lenoir",
            "state": "NC",
            "postal_code": "286455703",
            "country_code": "US",
            "telephone_number": "828-757-6460",
            "fax_number": "828-757-4901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "JESSICA",
        "middle_name": "BERRY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jberry346412@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "160 River Bend Dr Ste A",
            "city": "Granite Falls",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286309371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Ciriano Cohn, DNP, FNP-BC
• Community Pharmacy of Granite Falls, LLC (Granite Drug Center)
• Tiffany Connelly, LPCA
• Emily Blake Cook, FNP-C
• Heather Cooper, CADC
• Hannah Grace Crowder, OTR/L
• Crown Health Care PA (Granite Falls Primary Care Physicians)
• Evan Blake Deboard
• Debra G Hawn
• Macy Johnson Dickson, FNP

• Physician Assistant in Granite Falls, NC
• Providers in Granite Falls, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.