Individual provider Active NPI

Crystal Beddard, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Conyers, GA
National Provider Identifier
1295090801
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN-NP182810 Issued in GA
Practice address
1775 Parker Rd SE Ste C210
Conyers, GA 30094-6676
Phone
(770) 776-8280
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-NP182810 GA Primary
Family Nurse Practitioner 363LF0000X APRN-NP182810 GA

Addresses

Primary practice location

1775 Parker Rd SE Ste C210
Conyers, GA 30094-6676

Mailing address

1775 Parker Rd SE Ste C210
Conyers, GA 30094-6676
Phone (770) 776-8280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121113000078 GA Practitioner - Nurse Practitioner 1951552355 Reassigns benefits to 5 organizations
I20250408001567 SC Practitioner - Nurse Practitioner 1951552355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Carolina Dept of Mental Health Accounting OfficeGroup PAC ID 9032021175, 226 clinicians

Practice addresses (Care Compare)

2715 Colonial Dr
Columbia, SC 29203-6818
Phone (803) 898-0123

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as group
Quality
89.03
Promoting interoperability
82
Improvement activities
40
Cost
90.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP182810GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Teamworks Community Health, LLC Current Accepting new patients
Cep America LLC CurrentSince May 1, 2013 Accepting new patients
Georgia Em-I Medical Services, LLC Nurse Practitioner CurrentSince Jan 1, 2015 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jan 28, 2025 Accepting new patients
South Carolina Department of Mental Health Accounting Office CurrentSince Mar 21, 2025 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
Cep America LLC CurrentSince May 1, 2013 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Sep 1, 2013 Accepting new patients
The Bortolazzo Group, LLC CurrentSince Sep 22, 2012 Accepting new patients
Georgia Em-I Medical Services PC Nurse Practitioner CurrentSince Jan 1, 2015 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Mar 21, 2025 Accepting new patients
Georgia Em-I Medical Services. LLC Nurse Practitioner Current Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Sep 1, 2013 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1775 Parker Rd SE
Ste C210
Conyers, GA 30094
Phone (404) 923-0223

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

2801 DeKalb Medical Pkwy
Stonecrest, GA 30058
Phone (404) 501-5374

1800 Colonial Dr
Columbia, SC 29203
Phone (803) 898-0123

2715 Colonial Dr
Columbia, SC 29203
Phone (803) 898-4777

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1295090801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 PARKER RD SE STE C210",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946676",
            "telephone_number": "770-776-8280",
            "fax_number": "678-682-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 PARKER RD SE STE C210",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946676",
            "telephone_number": "770-776-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDDARD",
        "first_name": "CRYSTAL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "APRN-NP182810",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP182810",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.