Organization Active NPI

Bay Tree Family Care, P.C.

  • Family Medicine Physician
  • Red Bay, AL
National Provider Identifier
1285793596
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BAY TREE FAMILY CARE, P.C.
Practice address
214 Hospital Rd
Red Bay, AL 35582-3861
Phone
(256) 356-5609
Fax
(256) 356-5611
NPI assigned
Dec 6, 2006
Last updated
Mar 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Dr. Kristy Lynn Crandell, M.D.NPI 1578500146
Title
President
Phone
(256) 356-5609

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

214 Hospital Rd
Red Bay, AL 35582-3861

Mailing address

214 Hospital Rd
Red Bay, AL 35582-3861
Phone (256) 356-5609

Other identifiers 2

IdentifierTypeStateIssuer
9015789MedicaidMS
009957670MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111109000139 AL Part B Supplier - Clinic/Group Practice 7719150630 Receives reassigned benefits from 1 practitioner
Practice locations: Red Bay, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0988970Bay Tree Family Care PC214 Hospital Road, Red Bay, AL 35582Provider-performed microscopyJul 11, 2027

National Provider Directory

National Provider Directory

Locations

214 Hospital Rd
Red Bay, AL 35582
Phone (256) 356-5609

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1285793596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 HOSPITAL RD",
            "city": "RED BAY",
            "state": "AL",
            "postal_code": "355823861",
            "telephone_number": "256-356-5609",
            "fax_number": "256-356-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 HOSPITAL RD",
            "city": "RED BAY",
            "state": "AL",
            "postal_code": "355823861",
            "telephone_number": "256-356-5609",
            "fax_number": "256-356-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY TREE FAMILY CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "CRANDELL",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-356-5609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9015789",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009957670",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bay, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.