Individual provider Active NPI

Stephen C Crawford, MD

  • Diagnostic Radiology Physician
  • Jackson, MS
National Provider Identifier
1447287107
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
14611 Issued in MS
Practice address
969 Lakeland Dr
Jackson, MS 39216-4606
Phone
(877) 406-2916
Fax
(601) 682-7909
NPI assigned
Jun 27, 2006
Last updated
Feb 9, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 14611 MS Primary

Addresses

Primary practice location

969 Lakeland Dr
Jackson, MS 39216-4606

Mailing address

PO Box 55769
Jackson, MS 39296-5769
Phone (601) 200-6162

Other identifiers 1

IdentifierTypeStateIssuer
00115497MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040430000389 MS Practitioner - Diagnostic Radiology 1456348374 Reassigns benefits to 1 organization
I20190409003660 AZ Practitioner - Diagnostic Radiology 1456348374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Baylor College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeland Radiologists P aGroup PAC ID 4183683089, 29 clinicians

Practice addresses (Care Compare)

3020 N 27TH St
Phoenix, AZ 85016-7926
Phone (601) 200-6162

969 Lakeland Dr
Jackson, MS 39216-4606
Phone (601) 200-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.58 of 100Reported as group
Quality
95
Improvement activities
40
Cost
75.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14611MSMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Radiologists P a Diagnostic Radiology CurrentSince Jul 2, 1997 Accepting new patients
Flowood Mississippi Imaging LLC CurrentSince Aug 1, 2019 Accepting new patients
St Dominic-Jackson Memorial Hospital Past Accepting new patients
Madison Imaging LLC Diagnostic Radiology Past Accepting new patients

Locations

2510 Lakeland Dr
Flowood, MS 39232
Phone (601) 355-1234

294 E Layfair Dr
Flowood, MS 39232
Phone (601) 414-6520

1026 N Flowood Dr
Jackson, MS 39232
Phone (601) 932-1000

1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165

969 Lakeland Dr
Jackson, MS 39216
Phone (601) 200-4644

106 Highland Way
Madison, MS 39110
Phone (601) 355-1234

106 Highland Way
Ste 100
Madison, MS 39110
Phone (601) 200-8410

215 Marion Ave
McComb, MS 39648
Phone (601) 249-1180

1065 E Broad St
Monticello, MS 39654
Phone (601) 249-1350

1001 Holland Ave
Philadelphia, MS 39350
Phone (601) 663-1200

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1447287107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55769",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392965769",
            "telephone_number": "601-200-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 LAKELAND DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164606",
            "telephone_number": "877-406-2916",
            "fax_number": "601-682-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "STEPHEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "14611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115497",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.