Individual provider Active NPI

Jason J Crumpler, M.D.

  • Emergency Medicine Physician
  • Charleston, SC
National Provider Identifier
1417397902
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
LL35724 Issued in SC
Practice address
169 Ashley Ave # Msc300
Charleston, SC 29425-8905
Phone
(843) 876-8023
NPI assigned
Jun 27, 2013
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X LL35724 SC Primary

Addresses

Primary practice location

169 Ashley Ave # Msc300
Charleston, SC 29425-8905

Mailing address

PO Box 639917
Cincinnati, OH 45263-9917

Other practice location 1

8161 Warren H Abernathy Hwy
Spartanburg, SC 29301-2451
Phone (864) 215-3729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160330002125 SC Practitioner - Emergency Medicine 9638390222 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35724SCMDPharmacist
LL35724SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Hospital Inc CurrentSince Jul 1, 2016 Accepting new patients
St. Francis Hospital, Inc. Current Accepting new patients
Woodruff Road Urgent Care Center, P.C. Current Accepting new patients
St Francis Hospital Inc CurrentSince Jul 1, 2016 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince May 21, 2022 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince May 21, 2022 Accepting new patients
St Francis Physician Services Inc Past Accepting new patients

Locations

1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000

125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800

1467 Woodruff Rd
Ste C
Greenville, SC 29607
Phone (864) 458-8126

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

3930 Grandview Dr
#B
Simpsonville, SC 29680
Phone (864) 301-6156

8161 Warren H Abernathy Hwy
Spartanburg, SC 29301
Phone (864) 215-3729

Interoperability endpoints

  • Direct secure messaging: jason.crumpler.1@17374.direct.athenahealth.com
  • Direct secure messaging: jason.crumpler.2@17374.direct.athenahealth.com
  • Direct secure messaging: jcrumpler1150408@direct.bsmhealth.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1417397902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639917",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVE # MSC300",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258905",
            "telephone_number": "843-876-8023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8161 Warren H Abernathy Hwy",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293012451",
            "country_code": "US",
            "telephone_number": "864-215-3729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUMPLER",
        "first_name": "JASON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-27",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "LL35724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.