Active NPI
Brianna Jessup Crummey, NP
- Family Nurse Practitioner
- Eastman, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN258688
- Practice address
- 911 Plaza Ave Ste C
Eastman, GA 31023-6786 - Phone
- (478) 374-5774
- NPI assigned
- Jul 5, 2019
- Last updated
- Jul 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN258688 | GA | Primary |
Addresses
Primary practice location
911 Plaza Ave Ste C
Eastman, GA 31023-6786
Mailing address
309 Bell Line Rd
Eastman, GA 31023-2637
Phone (478) 231-9729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
911 Plaza Ave
Suite C
Eastman, GA 31023-6786
Phone (478) 374-5774
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN258688 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart of Georgia Primary Care, LLC | Family | Current | Accepting new patients |
Locations
150 E Peacock St
#A
Cochran, GA 31014
Phone (478) 271-3200
911 Plaza Ave
Ste C
Eastman, GA 31023
Phone (478) 231-5948
Interoperability endpoints
- brianna.crummey@mtpm.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/AEADBA
Organizations & group practices 1
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.
-
- Family Nurse Practitioner
- Eastman, GA
- NPI 1780244301
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bleckley Memorial Hospital
- Critical Access Hospital
- Cochran, GA
- NPI 1578637526
-
dba Dodge County Hospital
- Rural Acute Care Hospital
- Eastman, GA
- NPI 1740272095
-
dba Fairview Park Hospital
- General Acute Care Hospital
- Dublin, GA
- NPI 1285688234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562284800000",
"number": "1316509771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 BELL LINE RD",
"city": "EASTMAN",
"state": "GA",
"postal_code": "310232637",
"telephone_number": "478-231-9729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 PLAZA AVE STE C",
"city": "EASTMAN",
"state": "GA",
"postal_code": "310236786",
"telephone_number": "478-374-5774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUMMEY",
"first_name": "BRIANNA",
"middle_name": "JESSUP",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-05",
"last_updated": "2019-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN258688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eastman, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.
- 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.