Terrence Croyle, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

034324 Issued in GA

Practice address

2375 S Main St
Moultrie, GA 31768-6517

Phone

(229) 985-2020

Fax

(229) 890-7741

NPI assigned

Jul 17, 2006

Last updated

Jun 30, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Thomasville Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Thomasville, GA
  • NPI 1437183365
  NPD
• Georgia-Florida Eye Centers, P.C.

  dba Moultrie Optical

  • Eyewear Supplier
  • Moultrie, GA
  • NPI 1932126455
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246320000000",
    "number": "1407873060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2282 E PINETREE BLVD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924807",
            "telephone_number": "229-226-6000",
            "fax_number": "229-226-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 S MAIN ST",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686517",
            "telephone_number": "229-985-2020",
            "fax_number": "229-890-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROYLE",
        "first_name": "TERRENCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2009-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "034324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICARE",
            "identifier": "000454319H",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "354941",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000454319H",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "100621",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "582233896",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "964533",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00247559",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEACH STATE",
            "identifier": "000454319H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• C Yvonne Cox, PH.D.
• Emma C Crist, LAT, ATC
• Shandreka Croft, LMFT
• Margaret Anna Crosby, CCC/SLP
• Renee Wilson Crosby
• Tre'Cherie Arachael Crumbs, MD
• Mailyn Cruz
• Crystal Pharmacy LLC (Crystal Pharmacy)
• Crystal Pharmacy LLC (Crystal Pharmacy)
• Crystal Pharmacy, LLC

• Ophthalmology Physician in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.