Individual provider Active NPI

Crystal Ho, AGNP-C

  • Primary Care Nurse Practitioner
  • Norcross, GA
National Provider Identifier
1346001773
Registry record updated Jan 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN304376 Issued in GA
Practice address
6107 Oakbrook Pkwy
Norcross, GA 30093-1771
Phone
(770) 458-6700
Fax
(770) 458-6709
NPI assigned
Jan 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN304376 GA
Gerontology Nurse Practitioner 363LG0600X RN304376 GA
Primary Care Nurse Practitioner 363LP2300X RN304376 GA Primary

Addresses

Primary practice location

6107 Oakbrook Pkwy
Norcross, GA 30093-1771

Mailing address

6107 Oakbrook Pkwy
Norcross, GA 30093-1771

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240219002558 GA Practitioner - Nurse Practitioner 3870937733 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN304376GAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boat People Sos-Atlanta Inc CurrentSince Jan 19, 2025 Accepting new patients
Truecare Medical LLC CurrentSince Jan 6, 2024 Accepting new patients

Locations

625 Beaver Ruin Rd NW
Ste E
Lilburn, GA 30047
Phone (678) 369-9399

6107 Oakbrook Pkwy
Norcross, GA 30093
Phone (770) 458-6700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737158400000",
    "number": "1346001773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6107 OAKBROOK PKWY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6107 OAKBROOK PKWY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931771",
            "telephone_number": "770-458-6700",
            "fax_number": "770-458-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "CRYSTAL",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN304376",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN304376",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN304376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

Verify at the official NPI Registry.