Active NPI
Claudia Crenshaw, RN,PHD,APRN,LPC
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Decatur, GA
National Provider Identifier
1366424566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- RN052883
- Practice address
- 315 West Ponce de Leon Ave
Suite 540
Decatur, GA 30030 - Phone
- (404) 403-2669
- Fax
- (404) 373-7647
- NPI assigned
- Nov 15, 2005
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1115 | GA | |
| Mental Health Counselor | 101YM0800X | 1115 | GA | |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | RN052883 | GA | |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | RN052883 | GA | Primary |
| Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0813X | RN052883 | GA |
Addresses
Primary practice location
315 West Ponce de Leon Ave
Suite 540
Decatur, GA 30030
Mailing address
315 West Ponce de Leon Ave
Suite 540
Decatur, GA 30030
Phone (404) 403-2669
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080512000197 | GA | Practitioner - Certified Clinical Nurse Specialist (CNS) | 9133208457 | Practice locations: Eatonton, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
946 Harmony Rd
Eatonton, GA 31024-5877
Phone (404) 403-2669
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Doctor of Philosophy, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Psychiatry, LLC | Past | Accepting new patients | |
| Wellstar Medical Group, LLC | Past | Accepting new patients |
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.
-
- Psychiatry Physician
- Marietta, GA
- NPI 1629361605
-
- Psychiatry Physician
- Marietta, GA
- NPI 1619921376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311120000000",
"number": "1366424566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 WEST PONCE DE LEON AVE",
"address_2": "SUITE 540",
"city": "DECATUR",
"state": "GA",
"postal_code": "30030",
"telephone_number": "404-403-2669",
"fax_number": "404-373-7647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 WEST PONCE DE LEON AVE",
"address_2": "SUITE 540",
"city": "DECATUR",
"state": "GA",
"postal_code": "30030",
"telephone_number": "404-403-2669",
"fax_number": "404-373-7647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRENSHAW",
"first_name": "CLAUDIA",
"name_prefix": "Dr.",
"credential": "RN,PHD,APRN,LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2011-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "1115",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "1115",
"primary": false
},
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "GA",
"license": "RN052883",
"primary": false
},
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "GA",
"license": "RN052883",
"primary": true
},
{
"code": "364SP0813X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
"state": "GA",
"license": "RN052883",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.