Crawford Plastic Surgery

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

058734 Issued in GA

Legal business name

CRAWFORD PLASTIC SURGERY

Practice address

3450 Acworth Due West Rd NW Ste 220
Kennesaw, GA 30144-1001

Phone

(770) 794-6643

Fax

(770) 618-9617

NPI assigned

May 28, 2008

Last updated

Sep 18, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marcus H Crawford, M.D.NPI 1770787582

Title

Ceo/Owner

Phone

(770) 794-6643

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

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.

• Marcus H. Crawford, M.D.

  • Plastic Surgery Physician
  • Kennesaw, GA
  • NPI 1770787582
  Medicare reassignment Care Compare group NPD Authorized official
• Kimberly Monique Fryer, MSN, AGNP-C

  • Adult Health Nurse Practitioner
  • Temple, GA
  • NPI 1164066031
  Medicare reassignment Care Compare group NPD
• Tenisha L. Meko, NP-C

  • Family Nurse Practitioner
  • Canton, GA
  • NPI 1356843528
  NPD (past)
• Holley Nash, RDN

  • Registered Dietitian
  • Decatur, GA
  • NPI 1811478472
  NPD (past)

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1295993194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 ACWORTH DUE WEST RD NW STE 220",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441001",
            "telephone_number": "770-794-6643",
            "fax_number": "770-794-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 ACWORTH DUE WEST RD NW STE 220",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441001",
            "telephone_number": "770-794-6643",
            "fax_number": "770-618-9617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3651 Mars Hill Rd Ste 900A",
            "address_purpose": "LOCATION",
            "city": "Watkinsville",
            "state": "GA",
            "postal_code": "306775990",
            "country_code": "US",
            "telephone_number": "770-618-9616",
            "fax_number": "770-618-9617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3907 Macon Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319072292",
            "country_code": "US",
            "telephone_number": "770-618-9616",
            "fax_number": "770-618-9617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 Professional Dr",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312011411",
            "country_code": "US",
            "telephone_number": "770-618-9616",
            "fax_number": "770-618-9617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7722 Waters Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314063814",
            "country_code": "US",
            "telephone_number": "770-618-9616",
            "fax_number": "770-618-9617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Swanson Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Tyrone",
            "state": "GA",
            "postal_code": "302901745",
            "country_code": "US",
            "telephone_number": "770-618-9616",
            "fax_number": "770-618-9617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3473 Lawrenceville Suwanee Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300247474",
            "country_code": "US",
            "telephone_number": "770-618-9616",
            "fax_number": "770-618-9617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1961 Buford Hwy Ste E",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305188826",
            "country_code": "US",
            "telephone_number": "770-618-9616",
            "fax_number": "770-618-9617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Clairmont Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300301258",
            "country_code": "US",
            "telephone_number": "770-618-9616",
            "fax_number": "770-618-9617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRAWFORD PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "770-794-6643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "058734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "721385595A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Kennesaw",
            "affiliation": "N",
            "endpointDescription": "address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Kennesaw",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Kennesaw",
            "address_1": "3450 Acworth Due West Rd NW Ste 220",
            "city": "Kennesaw",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301441001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Marcus H. Crawford, M.D.
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• Creative Interventions, Inc
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• Haley Crew

• Plastic Surgery Physician in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Plastic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.