Individual provider Active NPI

Djenabra M Croskey, MD

  • Obstetrics & Gynecology Physician
  • Greenville, SC
National Provider Identifier
1417946716
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
91316 Issued in FL
Practice address
777 Lowndes Hill Rd
Greenville, SC 29607-2101
Phone
(864) 908-3530
Fax
(864) 627-9920
NPI assigned
Oct 19, 2005
Last updated
Apr 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 91316 FL Primary

Addresses

Primary practice location

777 Lowndes Hill Rd
Greenville, SC 29607-2101

Mailing address

777 Lowndes Hill Rd
Greenville, SC 29607-2101
Phone (864) 908-3530

Other identifiers 1

IdentifierTypeStateIssuer
271084600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20160211001317 VA Practitioner - Obstetrics/Gynecology 3274571435 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Howard University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Virginia LLCGroup PAC ID 9436323342, 46 clinicians

Practice addresses (Care Compare)

13710 St Francis Blvd
Midlothian, VA 23114-3267
Phone (864) 603-5203

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
91316FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Obstetrics & Gynecology CurrentSince Aug 20, 2023 Accepting new patients
River City OB/GYN, P.C. Obstetrics & Gynecology CurrentSince Sep 17, 2018 Accepting new patients
Virginia Womens Center Inc CurrentSince Dec 16, 2015 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 20, 2023 Accepting new patients
Dominion Women's Health, Inc. Obstetrics & Gynecology CurrentSince Feb 11, 2022 Accepting new patients
Obhg Virginia, LLC Obstetrics & Gynecology CurrentSince Dec 5, 2015 Accepting new patients
Exodus Women's Center, Inc. Obstetrics & Gynecology Past Accepting new patients
Obhg Maryland PC Obstetrics & Gynecology PastSince Apr 14, 2024 Accepting new patients

Locations

8644 Sudley Rd
#220
Manassas, VA 20110

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

8239 Meadowbridge Rd
Ste A
Mechanicsvlle, VA 23116
Phone (804) 730-0800

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

13700 St Francis Blvd
Ste 603
Midlothian, VA 23114
Phone (804) 362-0808

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

13801 St Francis Blvd
Ste 150
Midlothian, VA 23114

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

5875 Bremo Rd
Ste 400
Richmond, VA 23226
Phone (804) 287-3550

7130 Glen Forest Dr
Ste 101
Richmond, VA 23226

Organizations & group practices 9

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1417946716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 LOWNDES HILL RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072101",
            "telephone_number": "864-908-3530",
            "fax_number": "864-627-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 LOWNDES HILL RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072101",
            "telephone_number": "864-908-3530",
            "fax_number": "864-627-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSKEY",
        "first_name": "DJENABRA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "91316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271084600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.