Individual provider Active NPI

Jason Nicholas Crawford, MD

  • Family Medicine Physician
  • Sugar Mountain, NC
National Provider Identifier
1447513593
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
201501553 Issued in NC
Practice address
3990 NC Highway 105 S Ste 1
Sugar Mountain, NC 28604-9887
Phone
(828) 898-4585
Fax
(828) 373-3298
NPI assigned
Jun 22, 2012
Last updated
Apr 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 201501553 NC Primary

Addresses

Primary practice location

3990 NC Highway 105 S Ste 1
Sugar Mountain, NC 28604-9887

Mailing address

3990 NC Highway 105 S Ste 1
Sugar Mountain, NC 28604-9887
Phone (828) 898-4585

Other identifiers 1

IdentifierTypeStateIssuer
207QOOOOXOtherVAFAMILY MEDICINE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
52.1 of 100Reported as group
Quality
13.31
Promoting interoperability
99
Improvement activities
0
Cost
77.87

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1447513593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 NC HIGHWAY 105 S STE 1",
            "city": "SUGAR MOUNTAIN",
            "state": "NC",
            "postal_code": "286049887",
            "telephone_number": "828-898-4585",
            "fax_number": "828-373-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 NC HIGHWAY 105 S STE 1",
            "city": "SUGAR MOUNTAIN",
            "state": "NC",
            "postal_code": "286049887",
            "telephone_number": "828-898-4585",
            "fax_number": "828-373-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "JASON",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "201501553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY MEDICINE",
            "identifier": "207QOOOOX",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Mountain, NC

Sources for this page

Verify at the official NPI Registry.