Active NPI
Jacky Lynn Crawford, M.D.
- Emergency Medicine Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35808
- Practice address
- 1221 S Broadway
Lexington, KY 40504-2701 - Phone
- (859) 258-4000
- Fax
- (859) 258-6203
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 35808 | KY | |
| Emergency Medicine Physician | 207P00000X | 35808 | KY | Primary |
Addresses
Primary practice location
1221 S Broadway
Lexington, KY 40504-2701
Mailing address
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200
Other practice location 1
1 Trillium Way
Corbin, KY 40701-8426
Phone (606) 528-1212
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000184103 | Other | KY | BLUE CROSS BLUE SHIELD |
| 64016884 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Kentucky College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Lexington Clinic, PSC | Current | Accepting new patients | |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| New Lexington Clinic PSC | Current | Accepting new patients | |
| Cumberland Clinic, PLLC | Past | Accepting new patients | |
| Ky-I Medical Services, P.S.C. | Past | Accepting new patients | |
| Emergency Coverage, LLC | Emergency Medicine | Past | Accepting new patients |
| Saint Joseph Health System, Inc | Past | Accepting new patients | |
| Baptist Health Medical Group, Inc. | Emergency Medicine | Past | Accepting new patients |
| Rockcastle County Hospital, Inc. | Past | Accepting new patients |
Locations
305 Estill St
Berea, KY 40403
Phone (859) 986-1415
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000
299 Kings Daughters Dr
Hatton, KY 40601
Phone (502) 875-5240
60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115
1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000
1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181
310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612
1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Lexington, KY
- NPI 1700803681
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
-
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1285409425
-
- Durable Medical Equipment & Medical Supplies
- Louisville, KY
- NPI 1073890695
Emergency Medicine
-
- Cardiovascular Disease Physician
- London, KY
- NPI 1457432247
-
- Physician Assistant
- Frankfort, KY
- NPI 1336586932
-
- General Acute Care Hospital
- Mount Vernon, KY
- NPI 1104890714
-
- Rural Acute Care Hospital
- London, KY
- NPI 1992701429
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- London, KY
- NPI 1992701429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1316986433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 S BROADWAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042701",
"telephone_number": "859-258-6200",
"fax_number": "859-258-6203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 S BROADWAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042701",
"telephone_number": "859-258-4000",
"fax_number": "859-258-6203"
}
],
"practiceLocations": [
{
"address_1": "1 Trillium Way",
"address_purpose": "LOCATION",
"city": "Corbin",
"state": "KY",
"postal_code": "407018426",
"country_code": "US",
"telephone_number": "606-528-1212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRAWFORD",
"first_name": "JACKY",
"middle_name": "LYNN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "KY",
"license": "35808",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "35808",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000184103",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64016884",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.