Individual provider Active NPI

Jeffrey Wyatt Crooms, MD

  • Surgery Physician
  • Marianna, FL
National Provider Identifier
1467554618
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME0043049 Issued in FL
Practice address
4250 Hospital Dr
Marianna, FL 32446-1917
Phone
(850) 526-2200
Fax
(850) 718-2844
NPI assigned
Sep 1, 2006
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME0043049 FL Primary

Addresses

Primary practice location

4250 Hospital Dr
Marianna, FL 32446-1917

Mailing address

1405 Centerville Rd
Suite 4400
Tallahassee, FL 32308-4655
Phone (850) 877-6212

Other practice location 1

1405 Centerville Rd
Suite 4400
Tallahassee, FL 32308-4655
Phone (850) 877-6212

Other identifiers 1

IdentifierTypeStateIssuer
129592600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20111103000231 FL Practitioner - General Surgery 5799787438 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Miami, LM Miller School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ER Physician Group at Jackson HospitalGroup PAC ID 8729059472, 153 clinicians

Practice addresses (Care Compare)

224 NW Crane Ave
Madison, FL 32340-1400
Phone (850) 253-1923

4295 3Rd Ave
Marianna, FL 32446-2120
Phone (850) 428-0017

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0043049FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Madison County Hospital Health Systems, Inc. CurrentSince Feb 13, 2025 Accepting new patients
Madison County Hospital Health Systems, Inc. CurrentSince Feb 13, 2025 Accepting new patients
ER Physician Group at Jackson Hospital CurrentSince Jan 1, 2026 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

224 NW Crane Ave
Madison, FL 32340
Phone (850) 253-1923

4250 Hospital Dr
Marianna, FL 32446
Phone (850) 526-2200

4295 3rd Ave
Marianna, FL 32446
Phone (850) 482-0017

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021

Organizations & group practices 6

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 2

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1467554618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 CENTERVILLE RD",
            "address_2": "SUITE 4400",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084655",
            "telephone_number": "850-877-6212",
            "fax_number": "850-878-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 HOSPITAL DR",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324461917",
            "telephone_number": "850-526-2200",
            "fax_number": "850-718-2844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 Centerville Rd",
            "address_2": "Suite 4400",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084655",
            "country_code": "US",
            "telephone_number": "850-877-6212",
            "fax_number": "850-878-4034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROOMS",
        "first_name": "JEFFREY",
        "middle_name": "WYATT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0043049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129592600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

Verify at the official NPI Registry.