Active NPI
Anthony Mark Crossley
- Nurse's Aide
- Buford, GA
National Provider Identifier
1376028944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 067-R-1624
- Practice address
- 4321 S Lee St
Buford, GA 30518-5776 - Phone
- (678) 565-6500
- NPI assigned
- Sep 30, 2018
- Last updated
- Sep 30, 2018
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | 056-R-1624 | GA | |
| Adult Companion | 372600000X | 067-R-1624 | GA | |
| Personal Care Attendant | 3747P1801X | 067-R-1624 | GA | |
| Home Health Aide | 374U00000X | 067-R-1624 | GA | |
| Nurse's Aide | 376K00000X | 067-R-1624 | GA | Primary |
Addresses
Primary practice location
4321 S Lee St
Buford, GA 30518-5776
Mailing address
4321 S Lee St
Buford, GA 30518-5776
Phone (678) 565-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056-R-1624 | GA | MD | Chore Provider |
| 067-R-1624 | GA | MD | Adult Companion |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossley Seniorcare LLC | Current | Accepting new patients |
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.
-
dba Amada Senior Care Lanier
- In Home Supportive Care Agency
- Buford, GA
- NPI 1174138416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538265600000",
"number": "1376028944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4321 S LEE ST",
"city": "BUFORD",
"state": "GA",
"postal_code": "305185776",
"telephone_number": "678-565-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4321 S LEE ST",
"city": "BUFORD",
"state": "GA",
"postal_code": "305185776",
"telephone_number": "678-565-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSSLEY",
"first_name": "ANTHONY",
"middle_name": "MARK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-30",
"last_updated": "2018-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "GA",
"license": "056-R-1624",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "GA",
"license": "067-R-1624",
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "GA",
"license": "067-R-1624",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "GA",
"license": "067-R-1624",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "GA",
"license": "067-R-1624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.